54.242.172.204
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>1000</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>04/17/2015</StartDate>
  <EndDate>04/21/2015</EndDate>
  <DestinationPlan>Jamaica</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Patrick</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Ostler</Lastname>
    <Age>31</Age>
    <Dob>10/09/1983</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Heidi</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Thompson</Lastname>
    <Age>32</Age>
    <Dob>04/22/1982</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/17/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1359 Sunset Bay Dr</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Colorado</State>
      <City>Windsor</City>
      <Postcode>80550</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ospatch@gmail.com</Email>
    <Phone>
      <Home>8013627415</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Aaron M Ostler</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466322318086042</CreditcardNumber>
      <NameonCreditcard>Patrick S Ostler</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>16.51</CreditcardAmount>
      <CreditcardCodeNumber>541</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e2d48f0d
35e39f09
ARS-01-0020648
ARS-01-0020649
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0020648</PolicyNumber><UserName>e2d48f0d</UserName><Password>e2d48f0d</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0020649</PolicyNumber><UserName>35e39f09</UserName><Password>35e39f09</Password></PolicyDetails></RegistrationRes>