54.221.1.109
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>07/01/2014</StartDate>
  <EndDate>08/13/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Galina</Firstname>
    <Middlename>I</Middlename>
    <Lastname>Pavlova</Lastname>
    <Age>70</Age>
    <Dob>04/09/1944</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Yury</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Pavlov</Lastname>
    <Age>74</Age>
    <Dob>01/03/1940</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/01/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Energeticheskaya Ulitsa, dom 4, kv 27</Address1>
      <Address2></Address2>
      <Country>Russian Federation</Country>
      <State></State>
      <City>Moscow</City>
      <Postcode>111116</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dimadasha@yahoo.com</Email>
    <Phone>
      <Home>4086881086</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Dmitry Pavlov</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379747969561009</CreditcardNumber>
      <NameonCreditcard>dmitry y pavlov</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>714.56</CreditcardAmount>
      <CreditcardCodeNumber>8264</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
557a5f05
0c0e78ff
ARS-02-0017152
ARS-02-0017153
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0017152</PolicyNumber><UserName>557a5f05</UserName><Password>557a5f05</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0017153</PolicyNumber><UserName>0c0e78ff</UserName><Password>0c0e78ff</Password></PolicyDetails></RegistrationRes>