52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/09/2017</StartDate>
  <EndDate>06/13/2017</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Luca</Firstname>
    <Middlename/>
    <Lastname>Plantinga</Lastname>
    <Age>7</Age>
    <Dob>10/14/2009</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Eden</Firstname>
    <Middlename/>
    <Lastname>Plantinga</Lastname>
    <Age>10</Age>
    <Dob>03/19/2007</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/09/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1167 Barnhart Rd</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Lynden</City>
      <Postcode>98264</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ben.plantinga@gmail.com</Email>
    <Phone>
      <Home>3603890051</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Amber Van Hove</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202245695984</CreditcardNumber>
      <NameonCreditcard>Benjamin Plantinga</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>12.3</CreditcardAmount>
      <CreditcardCodeNumber>880</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>