54.226.61.71
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>03/30/2015</StartDate>
  <EndDate>03/28/2016</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Gregory</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Wright</Lastname>
    <Age>69</Age>
    <Dob>03/03/1945</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Joan</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Wright</Lastname>
    <Age>63</Age>
    <Dob>09/19/1951</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/30/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>409 53rd Street</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Virginia</State>
      <City>Virginia Beach</City>
      <Postcode>23451</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>runningirish26@gmail.com</Email>
    <Phone>
      <Home>7576502112</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>John Wright</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379756993791003</CreditcardNumber>
      <NameonCreditcard>Gregory R Wright</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>2898.1</CreditcardAmount>
      <CreditcardCodeNumber>9731</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
570ee213
ca100d16
ARS-01-0019366
ARS-01-0019367
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0019366</PolicyNumber><UserName>570ee213</UserName><Password>570ee213</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0019367</PolicyNumber><UserName>ca100d16</UserName><Password>ca100d16</Password></PolicyDetails></RegistrationRes>