54.221.1.109
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>07/09/2014</StartDate>
  <EndDate>08/08/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Sonia</Firstname>
    <Middlename>I</Middlename>
    <Lastname>Munoz</Lastname>
    <Age>73</Age>
    <Dob>04/20/1941</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/09/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Visviri 1320, Depto 63</Address1>
      <Address2></Address2>
      <Country>Chile</Country>
      <State></State>
      <City>Santiago</City>
      <Postcode>STGO-CHILE</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>loretoponcedeleon@yahoo.com</Email>
    <Phone>
      <Home>16503299733</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Loreto Ponce de Leon</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160272647163</CreditcardNumber>
      <NameonCreditcard>Darren Hakeman</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>276.89</CreditcardAmount>
      <CreditcardCodeNumber>972</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e096deb1
ARS-02-0017264
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0017264</PolicyNumber><UserName>e096deb1</UserName><Password>e096deb1</Password></PolicyDetails></RegistrationRes>