52.90.156.213
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>02/29/2016</StartDate>
  <EndDate>03/03/2016</EndDate>
  <DestinationPlan>El Salvador</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Eduardo</Firstname>
    <Middlename/>
    <Lastname>Molina</Lastname>
    <Age>41</Age>
    <Dob>02/12/1975</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/29/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Residencial Los Arcos</Address1>
      <Address2>Casa 163 II Etapa, Ciudad Cariari</Address2>
      <Country>Costa Rica</Country>
      <State/>
      <City>Heredia</City>
      <Postcode>1094001</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>emolina@aprenderycrecer.org</Email>
    <Phone>
      <Home>50683919532</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Hellen Tatiana Castro Mora</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>377045912099892</CreditcardNumber>
      <NameonCreditcard>Eduardo  Molina Montero</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>23.5</CreditcardAmount>
      <CreditcardCodeNumber>9830</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e13ff707
ARS-02-0025359
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0025359</PolicyNumber><UserName>e13ff707</UserName><Password>e13ff707</Password></PolicyDetails></RegistrationRes>