54.234.136.133
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>09/06/2015</StartDate>
  <EndDate>09/10/2015</EndDate>
  <DestinationPlan>Bahamas</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Melissa</Firstname>
    <Middlename/>
    <Lastname>Bautista</Lastname>
    <Age>45</Age>
    <Dob>05/27/1970</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Mariana</Firstname>
    <Middlename/>
    <Lastname>Molina</Lastname>
    <Age>31</Age>
    <Dob>04/03/1984</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/06/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5220 Bon Vivant Dr Apt 55</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Tampa</City>
      <Postcode>33603</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>melsewee@gmail.com</Email>
    <Phone>
      <Home>8132407948</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4185506000304266</CreditcardNumber>
      <NameonCreditcard>Melissa B Bautista</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>18.6</CreditcardAmount>
      <CreditcardCodeNumber>299</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
78727e21
75a40f89
ARS-01-0023005
ARS-01-0023006
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0023005</PolicyNumber><UserName>78727e21</UserName><Password>78727e21</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0023006</PolicyNumber><UserName>75a40f89</UserName><Password>75a40f89</Password></PolicyDetails></RegistrationRes>