54.226.34.195
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>01/28/2015</StartDate>
  <EndDate>02/01/2015</EndDate>
  <DestinationPlan>Portugal</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Victor</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Lopez</Lastname>
    <Age>49</Age>
    <Dob>05/03/1965</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/28/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>11704 SW 129 CT</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Miami</City>
      <Postcode>33186</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>vlopez@miamiaircraftstructures.com</Email>
    <Phone>
      <Home>3057734654</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5588370030024737</CreditcardNumber>
      <NameonCreditcard>Victor A Lopez</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>10.9</CreditcardAmount>
      <CreditcardCodeNumber>920</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9b961733
ARS-01-0019507
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0019507</PolicyNumber><UserName>9b961733</UserName><Password>9b961733</Password></PolicyDetails></RegistrationRes>