54.204.126.246
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>05/07/2014</StartDate>
  <EndDate>06/07/2014</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jonathan</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Schur</Lastname>
    <Age>60</Age>
    <Dob>10/31/1953</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Annie</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Schur</Lastname>
    <Age>53</Age>
    <Dob>05/20/1960</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/07/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>80 Riverside Boulevard</Address1>
      <Address2>Apt 19B</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>New York</City>
      <Postcode>10069</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jonathan.schur@dechert.com</Email>
    <Phone>
      <Home>2128101915</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4264520058412511</CreditcardNumber>
      <NameonCreditcard>Jonathan A Schur</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2014</CreditcardExpirationYear>
      <CreditcardAmount>245.76</CreditcardAmount>
      <CreditcardCodeNumber>605</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
765e2a18
91fd718a
ARS-01-0016367
ARS-01-0016368
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0016367</PolicyNumber><UserName>765e2a18</UserName><Password>765e2a18</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0016368</PolicyNumber><UserName>91fd718a</UserName><Password>91fd718a</Password></PolicyDetails></RegistrationRes>