34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/05/2018</StartDate>
  <EndDate>09/17/2018</EndDate>
  <DestinationPlan>Greece</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Michelle</Firstname>
    <Middlename/>
    <Lastname>Villejo</Lastname>
    <Age>27</Age>
    <Dob>02/01/1991</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Francy</Firstname>
    <Middlename/>
    <Lastname>Gomez</Lastname>
    <Age>25</Age>
    <Dob>06/10/1993</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Janie</Firstname>
    <Middlename/>
    <Lastname>Joy</Lastname>
    <Age>37</Age>
    <Dob>10/05/1980</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/05/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5646 McCormick</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Texas</State>
      <City>Houston</City>
      <Postcode>77023</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mmvillejo@sbcglobal.net</Email>
    <Phone>
      <Home>2107792377</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400666435020181</CreditcardNumber>
      <NameonCreditcard>Michelle  Villejo</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>31.46</CreditcardAmount>
      <CreditcardCodeNumber>797</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>