54.80.29.182
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>2000000</MaximumLimit>
  <StartDate>05/29/2014</StartDate>
  <EndDate>06/01/2014</EndDate>
  <DestinationPlan>Bahamas</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Natalia</Firstname>
    <Middlename/>
    <Lastname>Escobar</Lastname>
    <Age>25</Age>
    <Dob>05/11/1989</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/29/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3200 Huntington</Address1>
      <Address2></Address2>
      <Country>Colombia</Country>
      <State></State>
      <City>Weston</City>
      <Postcode>33332</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>manuel@wctcorp.com</Email>
    <Phone>
      <Home>3052169940</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Manuel Quintero Living Trust Dated 08/01/2011</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147111078449866</CreditcardNumber>
      <NameonCreditcard>Manuel Quintero</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>13.65</CreditcardAmount>
      <CreditcardCodeNumber>165</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
52dd3d5c
ARS-01-0016576
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0016576</PolicyNumber><UserName>52dd3d5c</UserName><Password>52dd3d5c</Password></PolicyDetails></RegistrationRes>