54.87.230.228
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/19/2016</StartDate>
  <EndDate>07/03/2016</EndDate>
  <DestinationPlan>Spain</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ton</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Ogi-Robbins</Lastname>
    <Age>16</Age>
    <Dob>09/19/1999</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/19/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>35936 Niles Blvd</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Fremont</City>
      <Postcode>94536</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>tng97@pacbell.net</Email>
    <Phone>
      <Home>5107178472</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Ton Ogi-Robbins</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5138710003374764</CreditcardNumber>
      <NameonCreditcard>Ton Ogi-Robbins</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>15.3</CreditcardAmount>
      <CreditcardCodeNumber>434</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9714f236
ARS-01-0027477
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0027477</PolicyNumber><UserName>9714f236</UserName><Password>9714f236</Password></PolicyDetails></RegistrationRes>