54.204.126.246
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/08/2014</StartDate>
  <EndDate>05/15/2014</EndDate>
  <DestinationPlan>Italy</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jiehua</Firstname>
    <Middlename/>
    <Lastname>Li</Lastname>
    <Age>36</Age>
    <Dob>11/06/1977</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/08/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>13104 Isle of Mann Way</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Maryland</State>
      <City>Highland</City>
      <Postcode>20777</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>li_jiehua@yahoo.com</Email>
    <Phone>
      <Home>4436042930</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jiachen</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>377251644891008</CreditcardNumber>
      <NameonCreditcard>Jiehua  Li</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>8.0</CreditcardAmount>
      <CreditcardCodeNumber>4272</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
3fe7f692
ARS-01-0015890
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0015890</PolicyNumber><UserName>3fe7f692</UserName><Password>3fe7f692</Password></PolicyDetails></RegistrationRes>