52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>2000000</MaximumLimit>
  <StartDate>07/05/2019</StartDate>
  <EndDate>07/11/2019</EndDate>
  <DestinationPlan>Dominican Republic</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Catherine</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Rainbow</Lastname>
    <Age>38</Age>
    <Dob>12/17/1980</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/05/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>7700 Cashel Ct</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>North Carolina</State>
      <City>Charlotte</City>
      <Postcode>28270</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>CRainbow@aol.com</Email>
    <Phone>
      <Home>7044056818</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Carolyn Rainbow</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466388437484012</CreditcardNumber>
      <NameonCreditcard>Catherine R Rainbow</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>24.8</CreditcardAmount>
      <CreditcardCodeNumber>745</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>