54.89.137.34
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/16/2015</StartDate>
  <EndDate>06/18/2015</EndDate>
  <DestinationPlan>Israel</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Naomi</Firstname>
    <Middlename/>
    <Lastname>Gal-Ruppin</Lastname>
    <Age>48</Age>
    <Dob>03/28/1967</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Ori</Firstname>
    <Middlename/>
    <Lastname>Ruppin</Lastname>
    <Age>12</Age>
    <Dob>09/14/2002</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/16/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>6130 Stonehenge Place</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Maryland</State>
      <City>Rockville</City>
      <Postcode>20852</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>naomi.ruppin@gmail.com</Email>
    <Phone>
      <Home>3019574050</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4465420496096579</CreditcardNumber>
      <NameonCreditcard>Naomi  Gal-Ruppin</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>12.5</CreditcardAmount>
      <CreditcardCodeNumber>519</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
58ff5b94
e24be35f
ARS-01-0021585
ARS-01-0021586
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