54.234.109.243
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/19/2015</StartDate>
  <EndDate>04/25/2015</EndDate>
  <DestinationPlan>Costa Rica</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Kevin</Firstname>
    <Middlename/>
    <Lastname>Thompson</Lastname>
    <Age>38</Age>
    <Dob>01/06/1977</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Adrianne </Firstname>
    <Middlename/>
    <Lastname>Thompson </Lastname>
    <Age>33</Age>
    <Dob>08/01/1981</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/19/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>6121 lake cove dr </Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Alabama</State>
      <City>Tuscaloosa</City>
      <Postcode>35406</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kt9311@gmail.com</Email>
    <Phone>
      <Home>4052090857</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160296391103</CreditcardNumber>
      <NameonCreditcard>Kevin j thompson</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>14.0</CreditcardAmount>
      <CreditcardCodeNumber>543</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
754756f6
37555ac3
ARS-01-0020669
ARS-01-0020670
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0020669</PolicyNumber><UserName>754756f6</UserName><Password>754756f6</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0020670</PolicyNumber><UserName>37555ac3</UserName><Password>37555ac3</Password></PolicyDetails></RegistrationRes>