54.160.242.53
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/10/2014</StartDate>
  <EndDate>10/14/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Andrew </Firstname>
    <Middlename>D</Middlename>
    <Lastname>Kelly</Lastname>
    <Age>20</Age>
    <Dob>06/02/1994</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/10/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>454 Douglas Park View S.E.</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>Alberta</State>
      <City>Calgary</City>
      <Postcode>P2Z2R1</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>alk327@gmail.com</Email>
    <Phone>
      <Home>4032360946</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Anne-Louise Marlow</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379758665951014</CreditcardNumber>
      <NameonCreditcard>Anne Louise Marlow</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>6.9</CreditcardAmount>
      <CreditcardCodeNumber>790</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8d1d13c9
ARS-02-0018382
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018382</PolicyNumber><UserName>8d1d13c9</UserName><Password>8d1d13c9</Password></PolicyDetails></RegistrationRes>