52.90.170.232
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/26/2016</StartDate>
  <EndDate>06/30/2016</EndDate>
  <DestinationPlan>Bhutan</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Michael</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Kreeft</Lastname>
    <Age>40</Age>
    <Dob>04/09/1976</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/26/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1308 Stanley Ave</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>British Columbia</State>
      <City>Victoria</City>
      <Postcode>V8S 3S6</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kreeftm@juno.com</Email>
    <Phone>
      <Home>905343568690</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Virginia Kreeft</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4789010011306311</CreditcardNumber>
      <NameonCreditcard>Michael J Kreeft</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>61.2</CreditcardAmount>
      <CreditcardCodeNumber>712</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4a56d20a
ARS-01-0026900
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0026900</PolicyNumber><UserName>4a56d20a</UserName><Password>4a56d20a</Password></PolicyDetails></RegistrationRes>