54.234.109.243
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/03/2015</StartDate>
  <EndDate>05/13/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>FRANCISCO JAVIER</Firstname>
    <Middlename/>
    <Lastname>MENARGUEZ</Lastname>
    <Age>61</Age>
    <Dob>07/17/1953</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/03/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>CALLE LITUALIA 4</Address1>
      <Address2>4-D</Address2>
      <Country>Spain</Country>
      <State></State>
      <City>MADRID</City>
      <Postcode>28030</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mamenarguez@ou.edu</Email>
    <Phone>
      <Home>4052408583</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Michael A MEnarguez</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Discover</CreditcardType>
      <CreditcardNumber>6011006763556751</CreditcardNumber>
      <NameonCreditcard>FRANCISCO JAVIER  MENARGUEZ</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>57.84</CreditcardAmount>
      <CreditcardCodeNumber>254</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9a69bb17
ARS-02-0020903
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0020903</PolicyNumber><UserName>9a69bb17</UserName><Password>9a69bb17</Password></PolicyDetails></RegistrationRes>