54.89.137.34
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/19/2015</StartDate>
  <EndDate>07/04/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Dwight</Firstname>
    <Middlename/>
    <Lastname>Poage</Lastname>
    <Age>54</Age>
    <Dob>04/01/1961</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Zoe</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Mara Smart</Lastname>
    <Age>20</Age>
    <Dob>09/08/1994</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Sharon</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Smart</Lastname>
    <Age>62</Age>
    <Dob>08/31/1952</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Aleeya</Firstname>
    <Middlename>C</Middlename>
    <Lastname>Mara Smart</Lastname>
    <Age>10</Age>
    <Dob>10/28/2004</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/19/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>7-97 Calle Xecumuc</Address1>
      <Address2></Address2>
      <Country>Guatemala</Country>
      <State></State>
      <City>Panajachel</City>
      <Postcode>07010</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dwight@mayanfamilies.org</Email>
    <Phone>
      <Home>6195502608</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Leslie Bagnas</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4815880007479233</CreditcardNumber>
      <NameonCreditcard>Dwight Poage</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>183.04</CreditcardAmount>
      <CreditcardCodeNumber>994</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a1ededd9
528c3bef
3754a851
f16f7b4b
ARS-02-0021679
ARS-02-0021680
ARS-02-0021681
ARS-02-0021682
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