54.86.99.59
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>03/20/2016</StartDate>
  <EndDate>07/19/2016</EndDate>
  <DestinationPlan>Panama</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Brandy</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Jones</Lastname>
    <Age>34</Age>
    <Dob>07/14/1981</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/20/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>27094 Grate Ave</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Missouri</State>
      <City>Jamesport</City>
      <Postcode>64648</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>manager.venao@selinaHostels.com</Email>
    <Phone>
      <Home>6608284011</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jeanette Stretch</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4250110001268826</CreditcardNumber>
      <NameonCreditcard>Jeanette l Stretch</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>122.0</CreditcardAmount>
      <CreditcardCodeNumber>715</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
cbbe8465
ARS-01-0025660
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0025660</PolicyNumber><UserName>cbbe8465</UserName><Password>cbbe8465</Password></PolicyDetails></RegistrationRes>