54.83.122.65
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>12000</MaximumLimit>
  <StartDate>09/06/2015</StartDate>
  <EndDate>09/14/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Donald</Firstname>
    <Middlename>I</Middlename>
    <Lastname>McMillan</Lastname>
    <Age>89</Age>
    <Dob>09/03/1925</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Dorothy</Firstname>
    <Middlename>C</Middlename>
    <Lastname>McMillan</Lastname>
    <Age>93</Age>
    <Dob>05/03/1922</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/06/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>84 Davisville Avenue </Address1>
      <Address2>Apt. #3D </Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Toronto</City>
      <Postcode>M4S1G1</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>doedon2@sympatico.ca</Email>
    <Phone>
      <Home>4164836759</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Discover</CreditcardType>
      <CreditcardNumber>6011004420067288</CreditcardNumber>
      <NameonCreditcard>Donald I McMillan</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>256.14</CreditcardAmount>
      <CreditcardCodeNumber>618</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
35764831
1137c4c6
ARS-02-0021838
ARS-02-0021839
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0021838</PolicyNumber><UserName>35764831</UserName><Password>35764831</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0021839</PolicyNumber><UserName>1137c4c6</UserName><Password>1137c4c6</Password></PolicyDetails></RegistrationRes>