Remittance request form

Dear Customer,

Thank you very much for traveling with Peach. We apologize for the inconvenience caused to your flight. To receive the compensation, please fill in the following columns and provide your bank account information.
Please enter or select a value to a required filed.
It will take about a month to complete our remittance. Peach will use your personal information only for compensation remittance.

* Please apply within a month from the original flight departure date.
* Receipts are not required to registered.

Customers' name (Representative)

E-mail address

E-mail address (confirm)

Number of companions

Flight number

Departure date

Reservation number

Your phone number

Your permanent address

Bank

Branch Name

Account Number

Name of account holder

Swift code

IBAN (International Bank Account Number) code( for bank account in EU only)