54.198.247.239
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/25/2014</StartDate>
  <EndDate>08/25/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>David</Firstname>
    <Middlename>I</Middlename>
    <Lastname>Conn</Lastname>
    <Age>50</Age>
    <Dob>08/03/1964</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Jennifer</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Conn</Lastname>
    <Age>43</Age>
    <Dob>04/03/1971</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Meghan</Firstname>
    <Middlename>O</Middlename>
    <Lastname>Conn</Lastname>
    <Age>13</Age>
    <Dob>05/28/2001</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Adam</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Conn</Lastname>
    <Age>10</Age>
    <Dob>10/10/2003</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/25/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1428 Bayberry Place</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>OAKVILLE</City>
      <Postcode>L6M 3W3</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>davidconn@bellnet.ca</Email>
    <Phone>
      <Home>9058279354</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5191230142596585</CreditcardNumber>
      <NameonCreditcard>David Conn</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>46.55</CreditcardAmount>
      <CreditcardCodeNumber>342</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
1878da55
b80b715b
941e0590
39f89571
ARS-02-0017845
ARS-02-0017846
ARS-02-0017847
ARS-02-0017848
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