34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>11/17/2017</StartDate>
  <EndDate>11/25/2017</EndDate>
  <DestinationPlan>Greece</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jaclyn</Firstname>
    <Middlename/>
    <Lastname>Baumgarten</Lastname>
    <Age>39</Age>
    <Dob>08/04/1978</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/17/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>500 East Las Olas Blvd </Address1>
      <Address2>Apt 2302</Address2>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Fort Lauderdale</City>
      <Postcode>33301</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>Jbaumgarten@boatsetter.com</Email>
    <Phone>
      <Home>4159408199</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Mark Harrison</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5589550013518396</CreditcardNumber>
      <NameonCreditcard>Jaclyn Baumgarten</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>15.53</CreditcardAmount>
      <CreditcardCodeNumber>217</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>