54.87.230.228
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>1000</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>07/17/2016</StartDate>
  <EndDate>07/27/2016</EndDate>
  <DestinationPlan>Czech Republic</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jane</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Walega</Lastname>
    <Age>43</Age>
    <Dob>12/21/1972</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Anthony</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Walega</Lastname>
    <Age>43</Age>
    <Dob>01/27/1973</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/17/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>4206 Roland Avenue</Address1>
      <Address2>Apt B2</Address2>
      <Country>United States</Country>
      <State>Maryland</State>
      <City>Baltimore</City>
      <Postcode>21210</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>janewalega@gmail.com</Email>
    <Phone>
      <Home>4438511545</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Anna Walega</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Parents-in-law</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147098685963720</CreditcardNumber>
      <NameonCreditcard>Jane E Walega</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>38.37</CreditcardAmount>
      <CreditcardCodeNumber>111</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
50d02140
33138fc2
ARS-01-0028109
ARS-01-0028110
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0028109</PolicyNumber><UserName>50d02140</UserName><Password>50d02140</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0028110</PolicyNumber><UserName>33138fc2</UserName><Password>33138fc2</Password></PolicyDetails></RegistrationRes>