54.86.99.59
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>03/30/2016</StartDate>
  <EndDate>03/31/2016</EndDate>
  <DestinationPlan>Poland</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>abraham</Firstname>
    <Middlename/>
    <Lastname>schiff</Lastname>
    <Age>40</Age>
    <Dob>11/25/1975</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/30/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>142 middleton street</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>brooklyn</City>
      <Postcode>11206</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>abe@regencym.com</Email>
    <Phone>
      <Home>9176625120</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160273412849</CreditcardNumber>
      <NameonCreditcard>abraham  schiff</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>10.63</CreditcardAmount>
      <CreditcardCodeNumber>230</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
48990e53
ARS-01-0025825
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0025825</PolicyNumber><UserName>48990e53</UserName><Password>48990e53</Password></PolicyDetails></RegistrationRes>