54.172.31.188
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>04/28/2016</StartDate>
  <EndDate>05/07/2016</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>doris</Firstname>
    <Middlename>e</Middlename>
    <Lastname>tower</Lastname>
    <Age>77</Age>
    <Dob>05/19/1938</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>leslie</Firstname>
    <Middlename>a</Middlename>
    <Lastname>tower</Lastname>
    <Age>76</Age>
    <Dob>11/30/1939</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/28/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>loma del mar , site 22</Address1>
      <Address2/>
      <Country>Mexico</Country>
      <State/>
      <City>san carlos, sonora, </City>
      <Postcode>85506</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mexicanpeeps@hotmail.com</Email>
    <Phone>
      <Home>6222261774</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>leslie a tower</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4160467102476677</CreditcardNumber>
      <NameonCreditcard>doris e tower</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>146.16</CreditcardAmount>
      <CreditcardCodeNumber>176</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a43db632
619b3588
ARS-02-0026350
ARS-02-0026351
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0026350</PolicyNumber><UserName>a43db632</UserName><Password>a43db632</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0026351</PolicyNumber><UserName>619b3588</UserName><Password>619b3588</Password></PolicyDetails></RegistrationRes>