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>07/03/2016</StartDate>
  <EndDate>07/19/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>John </Firstname>
    <Middlename>S</Middlename>
    <Lastname>Lewis</Lastname>
    <Age>58</Age>
    <Dob>11/01/1957</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>MICHAEL JOHN </Firstname>
    <Middlename/>
    <Lastname>MACIEL LEWIS</Lastname>
    <Age>15</Age>
    <Dob>08/01/2000</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/03/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>J19 Q81 L20</Address1>
      <Address2>SETOR JAO</Address2>
      <Country>Brazil</Country>
      <State/>
      <City>GOIANIA GO</City>
      <Postcode>74673-340</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>sydlewis@brturbo.com.br</Email>
    <Phone>
      <Home>5562981510847</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Michael John Maciel Lewis</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4501970032579633</CreditcardNumber>
      <NameonCreditcard>Mr John  S Lewis</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>89.76</CreditcardAmount>
      <CreditcardCodeNumber>046</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9fbb3690
983cc5b7
ARS-02-0027283
ARS-02-0027284
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0027283</PolicyNumber><UserName>9fbb3690</UserName><Password>9fbb3690</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0027284</PolicyNumber><UserName>983cc5b7</UserName><Password>983cc5b7</Password></PolicyDetails></RegistrationRes>