54.80.29.182
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/12/2014</StartDate>
  <EndDate>06/16/2014</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Joanna </Firstname>
    <Middlename/>
    <Lastname>Salapska-Gelleri</Lastname>
    <Age>39</Age>
    <Dob>02/06/1975</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Timothy</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Jordan</Lastname>
    <Age>48</Age>
    <Dob>07/22/1965</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/12/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>8232 Pacific Beach Drive</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Fort Myers</City>
      <Postcode>33966</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jsalapsk@fgcu.edu</Email>
    <Phone>
      <Home>2392785164</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Zoltan Gelleri</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4226950004011579</CreditcardNumber>
      <NameonCreditcard>Joanna Salapska-Gelleri</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>97.2</CreditcardAmount>
      <CreditcardCodeNumber>480</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b19be083
a360ff9d
ARS-01-0016462
ARS-01-0016463
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0016462</PolicyNumber><UserName>b19be083</UserName><Password>b19be083</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0016463</PolicyNumber><UserName>a360ff9d</UserName><Password>a360ff9d</Password></PolicyDetails></RegistrationRes>