54.87.230.228
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>07/21/2016</StartDate>
  <EndDate>10/21/2016</EndDate>
  <DestinationPlan>Denmark</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Deric</Firstname>
    <Middlename>K</Middlename>
    <Lastname>Cottrell</Lastname>
    <Age>39</Age>
    <Dob>10/11/1976</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/21/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>4609 Fordham Rd</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Maryland</State>
      <City>College Park</City>
      <Postcode>20740</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mr.digler@gmail.com</Email>
    <Phone>
      <Home>5599051649</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Paula D. Cottrell</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4337184001712940</CreditcardNumber>
      <NameonCreditcard>Deric K Cottrell</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>93.0</CreditcardAmount>
      <CreditcardCodeNumber>755</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f1088e35
ARS-01-0028205
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0028205</PolicyNumber><UserName>f1088e35</UserName><Password>f1088e35</Password></PolicyDetails></RegistrationRes>