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>01/10/2017</StartDate>
  <EndDate>04/04/2017</EndDate>
  <DestinationPlan>Madagascar</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Chauncey</Firstname>
    <Middlename/>
    <Lastname>Foster</Lastname>
    <Age>24</Age>
    <Dob>05/31/1992</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/10/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2411 NE 7th St</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Renton</City>
      <Postcode>98056</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>cwchaunceycw@gmail.com</Email>
    <Phone>
      <Home>7579211786</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Felicia Foster</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4003449009504232</CreditcardNumber>
      <NameonCreditcard>Chauncey  Foster</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>72.25</CreditcardAmount>
      <CreditcardCodeNumber>520</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b4be08d9
ARS-01-0028282
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0028282</PolicyNumber><UserName>b4be08d9</UserName><Password>b4be08d9</Password></PolicyDetails></RegistrationRes>