52.91.53.224
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>01/14/2016</StartDate>
  <EndDate>01/28/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Haydee </Firstname>
    <Middlename>L</Middlename>
    <Lastname>Misas de Colmenares</Lastname>
    <Age>68</Age>
    <Dob>08/26/1947</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/14/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>carrera 65 N 100-15</Address1>
      <Address2>Torre 5 Apto 592</Address2>
      <Country>Colombia</Country>
      <State/>
      <City>Bogota</City>
      <Postcode>0000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>angelicaun@hotmail.com</Email>
    <Phone>
      <Home>7133705354</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4463320001342108</CreditcardNumber>
      <NameonCreditcard>Angelica M Colmenares</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>90.0</CreditcardAmount>
      <CreditcardCodeNumber>953</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
126e2cab
ARS-02-0024662
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0024662</PolicyNumber><UserName>126e2cab</UserName><Password>126e2cab</Password></PolicyDetails></RegistrationRes>