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>11/20/2015</StartDate>
  <EndDate>11/29/2015</EndDate>
  <DestinationPlan>Spain</DestinationPlan>
  <NoOfApplicants>5</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>PAUL</Firstname>
    <Middlename>C</Middlename>
    <Lastname>BROOKS</Lastname>
    <Age>54</Age>
    <Dob>07/09/1961</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>JAMES</Firstname>
    <Middlename>F</Middlename>
    <Lastname>BROOKS</Lastname>
    <Age>14</Age>
    <Dob>05/26/2001</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>PAUL</Firstname>
    <Middlename>C</Middlename>
    <Lastname>BROOKS</Lastname>
    <Age>16</Age>
    <Dob>05/25/1999</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>DANIEL</Firstname>
    <Middlename>C</Middlename>
    <Lastname>BROOKS</Lastname>
    <Age>12</Age>
    <Dob>06/09/2003</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>HOPE</Firstname>
    <Middlename>F</Middlename>
    <Lastname>BROOKS</Lastname>
    <Age>47</Age>
    <Dob>12/14/1967</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/20/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>734 BRAEVIEW RD</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Kentucky</State>
      <City>LOUISVILLE</City>
      <Postcode>40206</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>BROOKSDENTISTRY1@AOL.COM</Email>
    <Phone>
      <Home>5027216080</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>HOPE BROOKS</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5490354175334595</CreditcardNumber>
      <NameonCreditcard>PAUL C BROOKS</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>85.92</CreditcardAmount>
      <CreditcardCodeNumber>018</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e451938f
fc82fbc2
829ebaee
ef7cfd7c
f3723822
ARS-01-0023285
ARS-01-0023286
ARS-01-0023287
ARS-01-0023288
ARS-01-0023289
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0023285</PolicyNumber><UserName>e451938f</UserName><Password>e451938f</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0023286</PolicyNumber><UserName>fc82fbc2</UserName><Password>fc82fbc2</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0023287</PolicyNumber><UserName>829ebaee</UserName><Password>829ebaee</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0023288</PolicyNumber><UserName>ef7cfd7c</UserName><Password>ef7cfd7c</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0023289</PolicyNumber><UserName>f3723822</UserName><Password>f3723822</Password></PolicyDetails></RegistrationRes>