34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>08/31/2018</StartDate>
  <EndDate>09/03/2018</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Luke</Firstname>
    <Middlename/>
    <Lastname>Manderson</Lastname>
    <Age>37</Age>
    <Dob>11/05/1980</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Jace</Firstname>
    <Middlename/>
    <Lastname>Molan</Lastname>
    <Age>30</Age>
    <Dob>10/29/1987</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Joanna</Firstname>
    <Middlename/>
    <Lastname>Cox</Lastname>
    <Age>27</Age>
    <Dob>03/04/1991</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/31/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>525 w 52nd St</Address1>
      <Address2>14LN</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>New York </City>
      <Postcode>10019</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lukemanderson@gmail.com</Email>
    <Phone>
      <Home>9177554482</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5242181219322802</CreditcardNumber>
      <NameonCreditcard>Luke Manderson</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>19.7</CreditcardAmount>
      <CreditcardCodeNumber>457</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>