54.87.230.228
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/08/2016</StartDate>
  <EndDate>06/14/2016</EndDate>
  <DestinationPlan>Israel</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Joel</Firstname>
    <Middlename/>
    <Lastname>Stoessel</Lastname>
    <Age>35</Age>
    <Dob>07/13/1980</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Chana</Firstname>
    <Middlename>B</Middlename>
    <Lastname>Stoessel</Lastname>
    <Age>35</Age>
    <Dob>06/23/1980</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/08/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5 First Street</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Spring Valley</City>
      <Postcode>10977</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email/>
    <Phone>
      <Home>8452637449</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>Yes</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5424181232006200</CreditcardNumber>
      <NameonCreditcard>Joel  Stoessel</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>17.5</CreditcardAmount>
      <CreditcardCodeNumber>401</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>