54.86.99.59
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/24/2016</StartDate>
  <EndDate>04/29/2016</EndDate>
  <DestinationPlan>Bahamas</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Landon</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Phollips</Lastname>
    <Age>18</Age>
    <Dob>02/01/1998</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/24/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>15 Norfolk Rd </Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Great Neck </City>
      <Postcode>11020</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>janinebphillips@gmail.com</Email>
    <Phone>
      <Home>5164597075</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Janine b Phillips </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>372540395821007</CreditcardNumber>
      <NameonCreditcard>Janine B Phillips</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>5.1</CreditcardAmount>
      <CreditcardCodeNumber>6101</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c17d5b76
ARS-01-0026312
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0026312</PolicyNumber><UserName>c17d5b76</UserName><Password>c17d5b76</Password></PolicyDetails></RegistrationRes>