54.234.109.243
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>03/18/2015</StartDate>
  <EndDate>04/01/2015</EndDate>
  <DestinationPlan>Netherlands</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>marcus </Firstname>
    <Middlename>s</Middlename>
    <Lastname>beuk</Lastname>
    <Age>47</Age>
    <Dob>03/23/1967</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>shae </Firstname>
    <Middlename>j</Middlename>
    <Lastname>beuk</Lastname>
    <Age>16</Age>
    <Dob>08/30/1998</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/18/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>6465 Wedgewood Place</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>British Columbia</State>
      <City>Nanaimo</City>
      <Postcode>V9V1V4</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>msbeuk@gmail.com</Email>
    <Phone>
      <Home>2507514143</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>erik beuk</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5193941450383733</CreditcardNumber>
      <NameonCreditcard>marcus s beuk </NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>37.5</CreditcardAmount>
      <CreditcardCodeNumber>175</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
456d370c
6b2e1fb0
ARS-01-0020207
ARS-01-0020208
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0020207</PolicyNumber><UserName>456d370c</UserName><Password>456d370c</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0020208</PolicyNumber><UserName>6b2e1fb0</UserName><Password>6b2e1fb0</Password></PolicyDetails></RegistrationRes>