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>05/30/2016</StartDate>
  <EndDate>05/30/2016</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Dylan</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Bush</Lastname>
    <Age>29</Age>
    <Dob>03/05/1987</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/30/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3105 Alderwood Ave.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Bellingham</City>
      <Postcode>98225</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>klein_stein@yahoo.com</Email>
    <Phone>
      <Home>5419652885</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kathleen Bush</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4160470009765242</CreditcardNumber>
      <NameonCreditcard>Dylan J Bush</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>8.28</CreditcardAmount>
      <CreditcardCodeNumber>287</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
6798b787
ARS-02-0026985
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0026985</PolicyNumber><UserName>6798b787</UserName><Password>6798b787</Password></PolicyDetails></RegistrationRes>