146.20.67.235
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML><Token>f411bb5db0e034671d25cb0fc1b17044</Token><ReferenceId>ec10cffd</ReferenceId><PlanId>1</PlanId><UserIp>254.74.183.7</UserIp><DeductibleAmount>250</DeductibleAmount><MaximumLimit>25000</MaximumLimit><StartDate>12/18/2023</StartDate><EndDate>01/03/2024</EndDate><NoOfApplicants>1</NoOfApplicants><DestinationPlan>Guatemala</DestinationPlan><PersonalInfo><Applicants><Applicant><Firstname>Robert</Firstname><Middlename/><Lastname>Polakoski</Lastname><Dob>05/05/1952</Dob><PassportNumber>567481578</PassportNumber><Gender>Male</Gender><SportsRider>no</SportsRider></Applicant></Applicants></PersonalInfo><DepartureInfo><HomeCountryDepartureDate>12/18/2023</HomeCountryDepartureDate></DepartureInfo><ApplicantAddress><MailForwardingAddress><MailingName>Robert Polakoski</MailingName><Address1>12 SPRING RD</Address1><Address2/><Country>United States</Country><State>NJ</State><City>LK HOPATCONG</City><Postcode>07849-1734</Postcode></MailForwardingAddress><ResidenceAddress><Address1>12 Spring Road</Address1><Address2/><Country>United States</Country><State>NJ</State><City>Lake Hopatcong</City><Postcode>07849</Postcode></ResidenceAddress><BillingAddress><BillingAddress1>12 SPRING RD</BillingAddress1><BillingAddress2/><BillingCountry>United States</BillingCountry><BillingState>NJ</BillingState><BillingCity>LK HOPATCONG</BillingCity><BillingPostcode>07849-1734</BillingPostcode></BillingAddress><Phone><Phone1>+1-8185230505</Phone1></Phone><Email>planes74@aol.com</Email></ApplicantAddress><Beneficiary><AdDBeneficiaryName>David Polakoski</AdDBeneficiaryName><AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship></Beneficiary><CitizenshipCountry>United States</CitizenshipCountry><CourierCharges>no</CourierCharges><PaymentMethod><CreditCard><Nameoncreditcard>Robert Polakoski</Nameoncreditcard><CreditcardAmount>90.44</CreditcardAmount></CreditCard></PaymentMethod></RegistrationXML>

------------Response---------------
2d87ea1b
691802205276

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