54.80.29.182
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>05/06/2014</StartDate>
  <EndDate>05/13/2014</EndDate>
  <DestinationPlan>Dominican Republic</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Anna </Firstname>
    <Middlename/>
    <Lastname>Niehaus</Lastname>
    <Age>22</Age>
    <Dob>06/04/1991</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/06/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>58 E Garrison St</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Pennsylvania</State>
      <City>Bethlehem</City>
      <Postcode>18018</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>apage240773@gmail.com</Email>
    <Phone>
      <Home>7202546519</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Celeste Niehaus</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147098395616386</CreditcardNumber>
      <NameonCreditcard>Laura Page</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>16.08</CreditcardAmount>
      <CreditcardCodeNumber>946</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
def5391f
ARS-01-0016345
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0016345</PolicyNumber><UserName>def5391f</UserName><Password>def5391f</Password></PolicyDetails></RegistrationRes>