54.80.29.182
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>05/24/2014</StartDate>
  <EndDate>07/01/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Evgeniya</Firstname>
    <Middlename/>
    <Lastname>Baron</Lastname>
    <Age>75</Age>
    <Dob>06/19/1938</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/24/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Volkova 8/1, apt. 31</Address1>
      <Address2></Address2>
      <Country>Russian Federation</Country>
      <State></State>
      <City>Rostov-on-Don</City>
      <Postcode>344092</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>tyuvash2@gmail.com</Email>
    <Phone>
      <Home>8479128994</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Marina Baron</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Grandchild</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147097784987010</CreditcardNumber>
      <NameonCreditcard>Timofey Yuvashev</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>316.68</CreditcardAmount>
      <CreditcardCodeNumber>820</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a910319d
ARS-02-0015836
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0015836</PolicyNumber><UserName>a910319d</UserName><Password>a910319d</Password></PolicyDetails></RegistrationRes>