54.172.31.188
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>03/18/2016</StartDate>
  <EndDate>03/21/2016</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>RUTH</Firstname>
    <Middlename>D</Middlename>
    <Lastname>KIM</Lastname>
    <Age>77</Age>
    <Dob>12/11/1938</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/18/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>4077 W. PICO BL 2ND FL</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>LOS ANGELES</City>
      <Postcode>90019</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>MDNLVC@GMAIL.COM</Email>
    <Phone>
      <Home>3233730110</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400660358019304</CreditcardNumber>
      <NameonCreditcard>CHRISTINE JEONG</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>32.25</CreditcardAmount>
      <CreditcardCodeNumber>149</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ca3012b8
ARS-01-0025723
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0025723</PolicyNumber><UserName>ca3012b8</UserName><Password>ca3012b8</Password></PolicyDetails></RegistrationRes>