54.198.151.126
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/01/2014</StartDate>
  <EndDate>07/31/2015</EndDate>
  <DestinationPlan>Spain</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Morgan</Firstname>
    <Middlename/>
    <Lastname>Curtis</Lastname>
    <Age>33</Age>
    <Dob>10/17/1980</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/01/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2514 Alder Lane</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>California</State>
      <City>Costa Mesa</City>
      <Postcode>92627</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>morgan.curtis1@gmail.com</Email>
    <Phone>
      <Home>9496103100</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Pamela Curtis</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5403851029372727</CreditcardNumber>
      <NameonCreditcard>Morgan  Curtis</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>456.25</CreditcardAmount>
      <CreditcardCodeNumber>546</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>