54.90.161.130
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/22/2015</StartDate>
  <EndDate>09/20/2016</EndDate>
  <DestinationPlan>Thailand</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Katherine</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Bloom</Lastname>
    <Age>35</Age>
    <Dob>03/17/1980</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/22/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>505 Congress Street Apt 302</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Massachusetts</State>
      <City>Boston</City>
      <Postcode>02210</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>katibloom@ymail.com</Email>
    <Phone>
      <Home>7742751222</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4313073829958595</CreditcardNumber>
      <NameonCreditcard>Katherine A Bloom</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>456.25</CreditcardAmount>
      <CreditcardCodeNumber>697</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
2bdc58ee
ARS-01-0022859
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0022859</PolicyNumber><UserName>2bdc58ee</UserName><Password>2bdc58ee</Password></PolicyDetails></RegistrationRes>