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>01/19/2015</StartDate>
  <EndDate>02/02/2015</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Vanessa</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Hill</Lastname>
    <Age>27</Age>
    <Dob>03/03/1987</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/19/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>65 GRAND AVE APT 1R</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>BROOKLYN</City>
      <Postcode>11205</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>nessymhill@gmail.com</Email>
    <Phone>
      <Home>3472413644</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kathleen Hill</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160314673953</CreditcardNumber>
      <NameonCreditcard>Vanessa M Hill</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>15.3</CreditcardAmount>
      <CreditcardCodeNumber>589</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
fa320035
ARS-01-0019423
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0019423</PolicyNumber><UserName>fa320035</UserName><Password>fa320035</Password></PolicyDetails></RegistrationRes>