54.89.137.34
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/22/2015</StartDate>
  <EndDate>06/30/2015</EndDate>
  <DestinationPlan>Chile</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Michael</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Labertew</Lastname>
    <Age>51</Age>
    <Dob>05/04/1964</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Kimberley</Firstname>
    <Middlename>W</Middlename>
    <Lastname>Labertew</Lastname>
    <Age>49</Age>
    <Dob>05/11/1966</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Christian</Firstname>
    <Middlename>W</Middlename>
    <Lastname>Labertew</Lastname>
    <Age>16</Age>
    <Dob>05/27/1999</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/22/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1640 Creek Side Lane</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Utah</State>
      <City>Park City</City>
      <Postcode>84098</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>labertew@yahoo.com</Email>
    <Phone>
      <Home>8018243555</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Charlotte Labertew</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>376761589392003</CreditcardNumber>
      <NameonCreditcard>Kimberley W Labertew</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>50.04</CreditcardAmount>
      <CreditcardCodeNumber>7817</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
447d70c2
6e43cdc9
314bafd6
ARS-01-0021731
ARS-01-0021732
ARS-01-0021733
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0021731</PolicyNumber><UserName>447d70c2</UserName><Password>447d70c2</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0021732</PolicyNumber><UserName>6e43cdc9</UserName><Password>6e43cdc9</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0021733</PolicyNumber><UserName>314bafd6</UserName><Password>314bafd6</Password></PolicyDetails></RegistrationRes>