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>05/29/2016</StartDate>
  <EndDate>06/05/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Simone</Firstname>
    <Middlename/>
    <Lastname>Magier</Lastname>
    <Age>69</Age>
    <Dob>08/14/1946</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/29/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>R. General San Martin  646 at 301</Address1>
      <Address2/>
      <Country>Brazil</Country>
      <State/>
      <City>Rio de Janeiro</City>
      <Postcode>22441_010</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>debierio@yahoo.com</Email>
    <Phone>
      <Home>2122941825</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Deborah Fisher</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160352535387</CreditcardNumber>
      <NameonCreditcard>Mark Fisher</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>48.0</CreditcardAmount>
      <CreditcardCodeNumber>477</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
be84f1ee
ARS-02-0026972
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0026972</PolicyNumber><UserName>be84f1ee</UserName><Password>be84f1ee</Password></PolicyDetails></RegistrationRes>