54.242.172.204
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>03/21/2015</StartDate>
  <EndDate>03/29/2015</EndDate>
  <DestinationPlan>Nicaragua</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Samuel</Firstname>
    <Middlename>I</Middlename>
    <Lastname>Bartlett</Lastname>
    <Age>28</Age>
    <Dob>09/19/1986</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Taylor</Firstname>
    <Middlename>H</Middlename>
    <Lastname>Skidmore</Lastname>
    <Age>26</Age>
    <Dob>09/13/1988</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Wayne</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Simmons </Lastname>
    <Age>27</Age>
    <Dob>10/28/1987</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/21/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>6626 SW 41st Pl</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Davie</City>
      <Postcode>33314</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ivoba86@hotmail.com</Email>
    <Phone>
      <Home>8018033985</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Monica Bartlett</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4869391869595871</CreditcardNumber>
      <NameonCreditcard>Samuel I Bartlett</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>22.95</CreditcardAmount>
      <CreditcardCodeNumber>078</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
7204be7c
802721cd
883cd872
ARS-01-0019951
ARS-01-0019952
ARS-01-0019953
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0019951</PolicyNumber><UserName>7204be7c</UserName><Password>7204be7c</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0019952</PolicyNumber><UserName>802721cd</UserName><Password>802721cd</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0019953</PolicyNumber><UserName>883cd872</UserName><Password>883cd872</Password></PolicyDetails></RegistrationRes>