52.90.156.213
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>05/17/2016</StartDate>
  <EndDate>05/16/2017</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Peter</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Beudert</Lastname>
    <Age>62</Age>
    <Dob>10/15/1953</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/17/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3635 N Wilson Ave</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Arizona</State>
      <City>Tucson</City>
      <Postcode>85719</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>pbeudert@email.arizona.edu</Email>
    <Phone>
      <Home>5203263013</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Lynn Beudert</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4313073336448064</CreditcardNumber>
      <NameonCreditcard>Peter M Beudert</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>1907.13</CreditcardAmount>
      <CreditcardCodeNumber>645</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
72011062
ARS-01-0025483
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0025483</PolicyNumber><UserName>72011062</UserName><Password>72011062</Password></PolicyDetails></RegistrationRes>