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>05/24/2014</StartDate>
  <EndDate>05/31/2014</EndDate>
  <DestinationPlan>Panama</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Alan</Firstname>
    <Middlename>D</Middlename>
    <Lastname>McCrossen</Lastname>
    <Age>33</Age>
    <Dob>04/19/1981</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Kara</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Allred</Lastname>
    <Age>30</Age>
    <Dob>12/10/1983</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/24/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>840 NW Naito Parkway</Address1>
      <Address2>Apt H7</Address2>
      <Country>United States</Country>
      <State>Oregon</State>
      <City>Portland</City>
      <Postcode>97209</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>alan.mccrossen@gmail.com</Email>
    <Phone>
      <Home>5038679994</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Indigo Allred</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse's child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4867967008326591</CreditcardNumber>
      <NameonCreditcard>Alan McCrossen</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>16.0</CreditcardAmount>
      <CreditcardCodeNumber>411</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
cb1b077d
35db27de
ARS-01-0016630
ARS-01-0016631
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0016630</PolicyNumber><UserName>cb1b077d</UserName><Password>cb1b077d</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0016631</PolicyNumber><UserName>35db27de</UserName><Password>35db27de</Password></PolicyDetails></RegistrationRes>