52.90.170.232
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/22/2016</StartDate>
  <EndDate>05/26/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Douglas </Firstname>
    <Middlename>G</Middlename>
    <Lastname>Malcolm</Lastname>
    <Age>68</Age>
    <Dob>08/20/1947</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Donna</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Malcolm</Lastname>
    <Age>66</Age>
    <Dob>02/14/1950</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/22/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>216 Varsity Estates Terrace NW</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Alberta</State>
      <City>Calgary</City>
      <Postcode>T3B 5J5</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>malcolm2mex@gmail.com</Email>
    <Phone>
      <Home>4036687916</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kenda Schultz</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4514011808031098</CreditcardNumber>
      <NameonCreditcard>Donna L Malcolm</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>60.0</CreditcardAmount>
      <CreditcardCodeNumber>594</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
adbc5419
66ddd864
ARS-02-0026773
ARS-02-0026774
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0026773</PolicyNumber><UserName>adbc5419</UserName><Password>adbc5419</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0026774</PolicyNumber><UserName>66ddd864</UserName><Password>66ddd864</Password></PolicyDetails></RegistrationRes>