54.89.137.34
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/17/2015</StartDate>
  <EndDate>09/04/2015</EndDate>
  <DestinationPlan>Austria</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Lenny</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Ramsey</Lastname>
    <Age>29</Age>
    <Dob>11/28/1985</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/17/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>18 S Kingshighway Blvd</Address1>
      <Address2>apt 4N</Address2>
      <Country>United States</Country>
      <State>Missouri</State>
      <City>St. Louis</City>
      <Postcode>63108</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lennyramsey@gmail.com</Email>
    <Phone>
      <Home>3142852932</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Tom Ramsey</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202191117405</CreditcardNumber>
      <NameonCreditcard>Lenny E Ramsey</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>19.38</CreditcardAmount>
      <CreditcardCodeNumber>055</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
6c1a32fe
ARS-01-0021296
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0021296</PolicyNumber><UserName>6c1a32fe</UserName><Password>6c1a32fe</Password></PolicyDetails></RegistrationRes>