174.129.122.238
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/19/2016</StartDate>
  <EndDate>11/29/2016</EndDate>
  <DestinationPlan>Haiti</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Benjamin</Firstname>
    <Middlename/>
    <Lastname>Caudill</Lastname>
    <Age>28</Age>
    <Dob>03/12/1988</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/19/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>9214 5th Street</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Maryland</State>
      <City>Lanham</City>
      <Postcode>20706</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>bencdll@gmail.com</Email>
    <Phone>
      <Home>2404477075</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Randall Caudill</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379592105461007</CreditcardNumber>
      <NameonCreditcard>Benjamin Caudill</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>7.61</CreditcardAmount>
      <CreditcardCodeNumber>2369</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
6ca7cfb5
ARS-01-0029507
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0029507</PolicyNumber><UserName>6ca7cfb5</UserName><Password>6ca7cfb5</Password></PolicyDetails></RegistrationRes>