54.226.34.195
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>01/16/2015</StartDate>
  <EndDate>01/27/2015</EndDate>
  <DestinationPlan>Ethiopia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Laura</Firstname>
    <Middlename/>
    <Lastname>Goodwin</Lastname>
    <Age>53</Age>
    <Dob>08/08/1961</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/16/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>17931 Silver Ash Ln</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Texas</State>
      <City>Houston</City>
      <Postcode>77095</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jjgood@sbcglobal.net</Email>
    <Phone>
      <Home>2813807301</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>James Goodwin</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>377245218782015</CreditcardNumber>
      <NameonCreditcard>Laura  Goodwin</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>49.56</CreditcardAmount>
      <CreditcardCodeNumber>4742</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5d810f1e
ARS-01-0019296
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0019296</PolicyNumber><UserName>5d810f1e</UserName><Password>5d810f1e</Password></PolicyDetails></RegistrationRes>