52.90.170.232
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>06/05/2016</StartDate>
  <EndDate>06/12/2016</EndDate>
  <DestinationPlan>Spain</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>mary ann</Firstname>
    <Middlename/>
    <Lastname>Vega</Lastname>
    <Age>41</Age>
    <Dob>09/18/1974</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/05/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Isla Bella</Address1>
      <Address2>126 Los Prados</Address2>
      <Country>Puerto Rico</Country>
      <State/>
      <City>Caguas</City>
      <Postcode>00727</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>whitelw@interlynxsystems.com</Email>
    <Phone>
      <Home>7876913119</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Lawrence White</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Friends</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4154177636121560</CreditcardNumber>
      <NameonCreditcard>Lawrence White</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>33.76</CreditcardAmount>
      <CreditcardCodeNumber>183</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d3d1219c
ARS-02-0026996
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0026996</PolicyNumber><UserName>d3d1219c</UserName><Password>d3d1219c</Password></PolicyDetails></RegistrationRes>