34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/09/2019</StartDate>
  <EndDate>05/14/2019</EndDate>
  <DestinationPlan>Saint Martin</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Camille </Firstname>
    <Middlename>M</Middlename>
    <Lastname>Tominaro </Lastname>
    <Age>63</Age>
    <Dob>09/21/1955</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/09/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>413 East 82nd street </Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>New York </City>
      <Postcode>10028</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>havefunsailing@gmail.com</Email>
    <Phone>
      <Home>9179575635</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jon Tominar Lipari </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5148919006748571</CreditcardNumber>
      <NameonCreditcard>Camille  M Tominaro </NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>19.5</CreditcardAmount>
      <CreditcardCodeNumber>322</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>