52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>05/14/2017</StartDate>
  <EndDate>05/21/2017</EndDate>
  <DestinationPlan>Bahamas</DestinationPlan>
  <NoOfApplicants>5</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Tonya</Firstname>
    <Middlename/>
    <Lastname>Jepko</Lastname>
    <Age>52</Age>
    <Dob>01/28/1965</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Emily</Firstname>
    <Middlename/>
    <Lastname>Hartley</Lastname>
    <Age>23</Age>
    <Dob>02/02/1994</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Logan</Firstname>
    <Middlename/>
    <Lastname>Jepko</Lastname>
    <Age>22</Age>
    <Dob>03/26/1995</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Brooke</Firstname>
    <Middlename/>
    <Lastname>Jepko</Lastname>
    <Age>20</Age>
    <Dob>11/28/1996</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Stewart</Firstname>
    <Middlename/>
    <Lastname>Whaley</Lastname>
    <Age>20</Age>
    <Dob>12/10/1996</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/14/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1072 Berry Trail Drive</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Tennessee</State>
      <City>Sevierville</City>
      <Postcode>37862</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>tjepko4@gmail.com</Email>
    <Phone>
      <Home>8652231250</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Brittnee Meagan Jones</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4773519900804283</CreditcardNumber>
      <NameonCreditcard>Tonya  Jepko</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>70.93</CreditcardAmount>
      <CreditcardCodeNumber>876</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
48afe385
4addf808
d929f54d
a17ba3be
8daff094
ARS-01-0033353
ARS-01-0033354
ARS-01-0033355
ARS-01-0033356
ARS-01-0033357
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