174.129.122.238
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>08/27/2016</StartDate>
  <EndDate>09/03/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Christopher</Firstname>
    <Middlename>K</Middlename>
    <Lastname>Wood</Lastname>
    <Age>58</Age>
    <Dob>03/08/1958</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/27/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Paseo de las Flores 17</Address1>
      <Address2/>
      <Country>Mexico</Country>
      <State/>
      <City>bahia de Banderas</City>
      <Postcode>63732</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ckevinwood@gmail.com</Email>
    <Phone>
      <Home>3222205694</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Heather Wood</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5191230180974140</CreditcardNumber>
      <NameonCreditcard>Christopher Wood</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>45.12</CreditcardAmount>
      <CreditcardCodeNumber>482</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
903e5ae2
ARS-02-0029140
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0029140</PolicyNumber><UserName>903e5ae2</UserName><Password>903e5ae2</Password></PolicyDetails></RegistrationRes>