34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>11/14/2018</StartDate>
  <EndDate>11/17/2018</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Tami</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Benjamin kanning</Lastname>
    <Age>43</Age>
    <Dob>11/25/1974</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Joel</Firstname>
    <Middlename>S</Middlename>
    <Lastname>kanning </Lastname>
    <Age>45</Age>
    <Dob>06/25/1973</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/14/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>29782 Gimpl Hill Rd.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Oregon</State>
      <City>Eugene</City>
      <Postcode>97402</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>tamikanning@gmail.com</Email>
    <Phone>
      <Home>5415144857</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Marco kanning</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4312317001639171</CreditcardNumber>
      <NameonCreditcard>Tami r Kanning </NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>22.5</CreditcardAmount>
      <CreditcardCodeNumber>096</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>