To ensure your feedback reaches the relevant area of Virgin Media please complete the following form.

N.B. Fields marked with an asterisk (*) are mandatory.

Please enter your full name:

Please enter the email address you would like us to contact you on:

Please enter your postcode:

Please select the Virgin Media Internet access account you use:

Do you wish to contact us about:

Please enter your Virgin.net email address if it is different from the one above:



Which operating system do you use?





Which area of the Virgin Media service are you having problems with?

Please provide full details of any error message you received:

Please enter your CLI (the number of the telephone line you use to dial into the Virgin Media service i.e. your home phone number):



Please enter the date and time of the last occasion you experienced these connectivity issues:

Date:  Time: 

Please provide full error code displayed:



Please provide a detailed description of the problem you experienced:

Please enter your Virgin.net email address if it is different from the one above:


Please provide full details of the billing query you have:
This information is required when cancelling your Virgin Media account. In order for us to process your request, we will need to contact you directly to answer some final security questions.

Please enter your Virgin Media Package:


Please enter your Contact telephone number:


Please enter your alternate contact number:


Please enter the best date for contact:


Please choose the best time for contact:


Please tell us how we could improve the content on Virgin.net:
Please provide your comments on the Virgin Media service:
Please enter your Virgin.net email address if it is different from the one above:


Please select the type of abuse that you wish to report:


Please select how the incident was detected:


Enter the offender's IP address or URL (if known)


Enter the offender's email address:


Please log your evidence of the incident


Please enter the date & time of the incident:
Date:   Time: 
Please enter your Virgin.net email address if it is different from the one above:


Please enter your Post code:
Please enter your Virgin.net Broadband user name (e.g. john.smith@adsl.virgin.net):


Please provide us with full details of your broadband issue:
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