54.226.34.195
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>01/13/2015</StartDate>
  <EndDate>01/10/2016</EndDate>
  <DestinationPlan>Nepal</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Lisa</Firstname>
    <Middlename/>
    <Lastname>Vogel</Lastname>
    <Age>64</Age>
    <Dob>06/08/1950</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Robert</Firstname>
    <Middlename>T</Middlename>
    <Lastname>Dutton</Lastname>
    <Age>67</Age>
    <Dob>07/03/1947</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/13/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>10124 241st Pl SW</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Edmonds</City>
      <Postcode>98020</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lisavog@msn.com</Email>
    <Phone>
      <Home>2063845778</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147099530538873</CreditcardNumber>
      <NameonCreditcard>Lisa  Vogel</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>2882.22</CreditcardAmount>
      <CreditcardCodeNumber>536</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
df6228e6
906901d8
ARS-01-0019274
ARS-01-0019275
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0019274</PolicyNumber><UserName>df6228e6</UserName><Password>df6228e6</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0019275</PolicyNumber><UserName>906901d8</UserName><Password>906901d8</Password></PolicyDetails></RegistrationRes>