34.192.94.100
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<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/21/2017</StartDate>
  <EndDate>07/02/2017</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>6</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Andy</Firstname>
    <Middlename/>
    <Lastname>Martinez</Lastname>
    <Age>13</Age>
    <Dob>06/13/2004</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Taten</Firstname>
    <Middlename/>
    <Lastname>Merrill</Lastname>
    <Age>13</Age>
    <Dob>06/20/2004</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Karim</Firstname>
    <Middlename/>
    <Lastname>Salome</Lastname>
    <Age>13</Age>
    <Dob>01/18/2004</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Gabriel</Firstname>
    <Middlename/>
    <Lastname>Watson</Lastname>
    <Age>12</Age>
    <Dob>08/16/2004</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Zander</Firstname>
    <Middlename/>
    <Lastname>Woodard</Lastname>
    <Age>13</Age>
    <Dob>01/15/2004</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Rodney</Firstname>
    <Middlename/>
    <Lastname>Cragun</Lastname>
    <Age>12</Age>
    <Dob>10/07/2004</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/21/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2975 North 1200 East </Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Utah</State>
      <City>North Logan</City>
      <Postcode>84341</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dannycox@live.com</Email>
    <Phone>
      <Home>4355122083</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4246315212850919</CreditcardNumber>
      <NameonCreditcard>Dan Cox</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>73.01</CreditcardAmount>
      <CreditcardCodeNumber>504</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>