54.226.34.195
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>01/18/2015</StartDate>
  <EndDate>04/30/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Dustin</Firstname>
    <Middlename/>
    <Lastname>Barr</Lastname>
    <Age>19</Age>
    <Dob>08/16/1995</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/18/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>320 clover crt</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Thunder bay</City>
      <Postcode>p7g1c7</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lbarr@tbaytel.net</Email>
    <Phone>
      <Home>8076284314</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Leanne Barr</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4512108904548116</CreditcardNumber>
      <NameonCreditcard>Leanne Barr</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>216.3</CreditcardAmount>
      <CreditcardCodeNumber>099</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>