54.242.172.204
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/21/2015</StartDate>
  <EndDate>05/14/2015</EndDate>
  <DestinationPlan>Viet Nam</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>benjamin</Firstname>
    <Middlename>t</Middlename>
    <Lastname>ostrow</Lastname>
    <Age>25</Age>
    <Dob>07/28/1989</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/21/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>12237 Garrison Forest Road</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Maryland</State>
      <City>Owings Mills</City>
      <Postcode>21117</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dso@aaskyassoc.com</Email>
    <Phone>
      <Home>4109088506</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>David Ostrow</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4417123044815727</CreditcardNumber>
      <NameonCreditcard>david s ostrow</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>20.4</CreditcardAmount>
      <CreditcardCodeNumber>436</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
6d381e1c
ARS-01-0020702
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0020702</PolicyNumber><UserName>6d381e1c</UserName><Password>6d381e1c</Password></PolicyDetails></RegistrationRes>