Case Number

Please enter your case number if you already have one

Please enter a number between 500000 and 9999999 Case Number Please enter a number between 500000 and 9999999

Contact Information

Customer Information

Title... Please select a value from the list

* First Name Please enter customer's first name

* Family Name Please enter customer's family name

Representative Information

Title...

* Rep First Name Please enter representative's first name

* Rep Family Name Please enter representative's family name

* Email Address Please enter your email address, email addresses must match exactly

* Confirm Email Address Please confirm your email address, email addresses must match exactly

* Select Country... Please select a country

Please select a country code

Telephone Number Please enter a phone number using numbers only, must be between 5 and 12 digits

Address 1 Please enter an address

Address 2

Town/City

County/State

Postal/Zip Code

AerClub Tier Please select a value from the list

How did you book? Please select a value from the list

Flight Information (if applicable)

Flight Number Flight Number must be 3 or 4 digits; without airline code i.e. EI

Flight Date Please enter a valid date (dd-MMM-yyyy)

Booking Reference Must start with a 2, contain letters and numbers, 6 characters long

Flight Number Flight Number must be 3 or 4 digits; without airline code i.e. EI

Flight Date Please enter a valid date (dd-MMM-yyyy)

Flight Number Flight Number must be 3 or 4 digits; without airline code i.e. EI

Flight Date Please enter a valid date (dd-MMM-yyyy)

Flight Number Flight Number must be 3 or 4 digits; without airline code i.e. EI

Flight Date Please enter a valid date (dd-MMM-yyyy)

Additional Customers (if applicable)

To add more than one customer, simply click the '+' sign:

Title...

First Name

Family Name

Title...

First Name

Family Name

Title...

First Name

Family Name

Title...

First Name

Family Name

Title...

First Name

Family Name

Title...

First Name

Family Name

Issue

* Please Select Please select an item in the list

Is your issue related to travel on flights in the range of our 3000 – 3999 series?	Yes No
Do you need a letter for your insurance?	Yes No

Comments

As with any standard email, any emails containing your personal data sent to or from Aer Lingus will travel in a non-encrypted format.

Please do not enter any payment card details into any data fields such as credit/debit card numbers and/or security codes

Please provide additional information

Characters Remaining :3000

Click here to add bank details

Account Holder Name	Account Number
Bank Name	Select your Bank's Country Select Country of Bank	Select your Currency Select Currency
Swift (BIC) Code	IBAN Number	Sort Code/Routing Number

Please upload all the relevant documentation with your request so it can be processed.
To add more than one file, simply click the '+' sign:

File To Upload:

Maximum size limit 5 MB per file. The combined file size cannot exceed 7 MB.
We are unable to accept Word documents. Please consider sending PDF files instead.