174.129.122.238
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/10/2016</StartDate>
  <EndDate>09/13/2016</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Lehang</Firstname>
    <Middlename/>
    <Lastname>Pedersen</Lastname>
    <Age>38</Age>
    <Dob>05/10/1978</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/10/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>626 N Beachwood Dr</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Los Angeles</City>
      <Postcode>90004</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lehang04@yahoo.dk</Email>
    <Phone>
      <Home>3104028338</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Michael Pedersen</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4411037131066067</CreditcardNumber>
      <NameonCreditcard>Michael M Pedersen</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>8.2</CreditcardAmount>
      <CreditcardCodeNumber>108</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
75c29c04
ARS-02-0029445
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0029445</PolicyNumber><UserName>75c29c04</UserName><Password>75c29c04</Password></PolicyDetails></RegistrationRes>