34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>03/01/2019</StartDate>
  <EndDate>03/10/2019</EndDate>
  <DestinationPlan>Spain</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ani</Firstname>
    <Middlename/>
    <Lastname>Buchaklian</Lastname>
    <Age>22</Age>
    <Dob>03/22/1996</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Mary</Firstname>
    <Middlename/>
    <Lastname>Buchaklian</Lastname>
    <Age>24</Age>
    <Dob>10/25/1994</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/01/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5421 Sunshine Lane</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Wisconsin</State>
      <City>Racine</City>
      <Postcode>53402</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>m.buchaklian@yahoo.com</Email>
    <Phone>
      <Home>2624982447</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4444001863005421</CreditcardNumber>
      <NameonCreditcard>Lauri Buchaklian</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>22.0</CreditcardAmount>
      <CreditcardCodeNumber>401</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>