54.234.136.133
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/04/2015</StartDate>
  <EndDate>09/08/2015</EndDate>
  <DestinationPlan>Curacao</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Sam</Firstname>
    <Middlename/>
    <Lastname>Chun</Lastname>
    <Age>28</Age>
    <Dob>06/22/1987</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Erica</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Hollander</Lastname>
    <Age>27</Age>
    <Dob>08/21/1988</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/04/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3514 28th Ave</Address1>
      <Address2>Apt 55</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>Astoria</City>
      <Postcode>11103</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>samchun@outlook.com</Email>
    <Phone>
      <Home>9253304495</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379749000122007</CreditcardNumber>
      <NameonCreditcard>Sam  Chun</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>8.5</CreditcardAmount>
      <CreditcardCodeNumber>1176</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
cde42c8c
da906dc7
ARS-01-0023010
ARS-01-0023011
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0023010</PolicyNumber><UserName>cde42c8c</UserName><Password>cde42c8c</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0023011</PolicyNumber><UserName>da906dc7</UserName><Password>da906dc7</Password></PolicyDetails></RegistrationRes>