54.226.61.71
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>01/25/2015</StartDate>
  <EndDate>03/22/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Leandro</Firstname>
    <Middlename/>
    <Lastname>Taboada</Lastname>
    <Age>40</Age>
    <Dob>01/18/1975</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/25/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Ugarteche 3260</Address1>
      <Address2>Piso 4, Depto. B</Address2>
      <Country>Argentina</Country>
      <State></State>
      <City>Buenos Aires</City>
      <Postcode>1425</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>leandroide66@yahoo.es</Email>
    <Phone>
      <Home>541148012626</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Erin Tanner</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Fiance</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147110722526327</CreditcardNumber>
      <NameonCreditcard>Erin J Tanner</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>203.78</CreditcardAmount>
      <CreditcardCodeNumber>303</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
bf53659c
ARS-02-0019480
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0019480</PolicyNumber><UserName>bf53659c</UserName><Password>bf53659c</Password></PolicyDetails></RegistrationRes>