54.86.99.59
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>04/04/2016</StartDate>
  <EndDate>04/21/2016</EndDate>
  <DestinationPlan>Viet Nam</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Robert</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Behrens</Lastname>
    <Age>66</Age>
    <Dob>02/01/1950</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/04/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>11216 16th st NE</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Minnesota</State>
      <City>St Michael</City>
      <Postcode>55367</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>rrbmjf@gmail.com</Email>
    <Phone>
      <Home>7634974900</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Mary Jane Fieccobrino</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Estate</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4128003660439947</CreditcardNumber>
      <NameonCreditcard>Robert  Behrens</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>96.12</CreditcardAmount>
      <CreditcardCodeNumber>457</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e2301796
ARS-01-0025733
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0025733</PolicyNumber><UserName>e2301796</UserName><Password>e2301796</Password></PolicyDetails></RegistrationRes>