174.129.122.238
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/20/2016</StartDate>
  <EndDate>08/21/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Lindsey</Firstname>
    <Middlename/>
    <Lastname>Peconi</Lastname>
    <Age>37</Age>
    <Dob>04/26/1979</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/20/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>220 redpath ave</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Turonto</City>
      <Postcode>m4p0a4</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lpeconi@rogers.com</Email>
    <Phone>
      <Home>6472449793</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4512238617624159</CreditcardNumber>
      <NameonCreditcard>Lindsey  Peconi</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>8.2</CreditcardAmount>
      <CreditcardCodeNumber>472</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f9fa8a43
ARS-02-0028969
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0028969</PolicyNumber><UserName>f9fa8a43</UserName><Password>f9fa8a43</Password></PolicyDetails></RegistrationRes>