54.221.1.109
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>07/03/2014</StartDate>
  <EndDate>07/10/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ryan</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Heffernan</Lastname>
    <Age>27</Age>
    <Dob>12/10/1986</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Seyoung</Firstname>
    <Middlename/>
    <Lastname>Kwak</Lastname>
    <Age>34</Age>
    <Dob>08/02/1979</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/03/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>59 Cook street app. 4</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>British Columbia</State>
      <City>Victoria</City>
      <Postcode>V8V3W7</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>heffernan.ryan@gmail.com</Email>
    <Phone>
      <Home>7786779585</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4349120932405184</CreditcardNumber>
      <NameonCreditcard>Ryan P. Heffernan</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>26.08</CreditcardAmount>
      <CreditcardCodeNumber>790</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a445481b
54364967
ARS-02-0017203
ARS-02-0017204
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0017203</PolicyNumber><UserName>a445481b</UserName><Password>a445481b</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0017204</PolicyNumber><UserName>54364967</UserName><Password>54364967</Password></PolicyDetails></RegistrationRes>