184.72.211.106
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>09/03/2016</StartDate>
  <EndDate>09/13/2016</EndDate>
  <DestinationPlan>Colombia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ryland</Firstname>
    <Middlename>C</Middlename>
    <Lastname>Sukola</Lastname>
    <Age>27</Age>
    <Dob>07/06/1989</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/03/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1909 N. 35th St </Address1>
      <Address2>Unit A</Address2>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Seattle</City>
      <Postcode>98103</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>rysukola@gmail.com</Email>
    <Phone>
      <Home>2535796729</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Donald Keith Henry</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147340033093630</CreditcardNumber>
      <NameonCreditcard>Donald Keith Henry</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>10.45</CreditcardAmount>
      <CreditcardCodeNumber>517</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
73d5484f
ARS-01-0029336
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0029336</PolicyNumber><UserName>73d5484f</UserName><Password>73d5484f</Password></PolicyDetails></RegistrationRes>