54.242.172.204
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/21/2015</StartDate>
  <EndDate>04/30/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Maria</Firstname>
    <Middlename/>
    <Lastname>Duran</Lastname>
    <Age>65</Age>
    <Dob>09/09/1949</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Roberto</Firstname>
    <Middlename/>
    <Lastname>Bustamante</Lastname>
    <Age>60</Age>
    <Dob>10/12/1954</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/21/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>55 Royalpark Way</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Woodbridge</City>
      <Postcode>L4H1J5</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kathy1972@gmail.com</Email>
    <Phone>
      <Home>6475288424</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4505515002581782</CreditcardNumber>
      <NameonCreditcard>Maria Duran</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>107.8</CreditcardAmount>
      <CreditcardCodeNumber>313</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
572e9536
0c580a2b
ARS-02-0020694
ARS-02-0020695
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0020694</PolicyNumber><UserName>572e9536</UserName><Password>572e9536</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0020695</PolicyNumber><UserName>0c580a2b</UserName><Password>0c580a2b</Password></PolicyDetails></RegistrationRes>