52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>12/16/2016</StartDate>
  <EndDate>12/20/2016</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Andrew</Firstname>
    <Middlename> </Middlename>
    <Lastname>Zuluauga</Lastname>
    <Age>23</Age>
    <Dob>10/21/1993</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Matthew</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Walsh</Lastname>
    <Age>30</Age>
    <Dob>02/20/1986</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Casey</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Clark</Lastname>
    <Age>26</Age>
    <Dob>07/13/1990</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Joseph</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Eichner</Lastname>
    <Age>25</Age>
    <Dob>10/09/1991</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/16/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>13334 Gavin rd</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Dover</City>
      <Postcode>33527</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>andrewzulu34@yahoo.com</Email>
    <Phone>
      <Home>8132707874</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147788571155437</CreditcardNumber>
      <NameonCreditcard>Jeffrey P Hagan</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>25.55</CreditcardAmount>
      <CreditcardCodeNumber>242</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
dc1a7950
cf49e327
a00234f9
04bbed7e
ARS-01-0031168
ARS-01-0031169
ARS-01-0031170
ARS-01-0031171
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