174.129.122.238
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/11/2016</StartDate>
  <EndDate>10/21/2016</EndDate>
  <DestinationPlan>Italy</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>sonja</Firstname>
    <Middlename/>
    <Lastname>Witt</Lastname>
    <Age>53</Age>
    <Dob>06/09/1963</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/11/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>PO Box 295</Address1>
      <Address2>420 Dalton Rd</Address2>
      <Country>United States</Country>
      <State>Texas</State>
      <City>Palmer</City>
      <Postcode>75152</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>sonjawitt@247365.com</Email>
    <Phone>
      <Home>2142025016</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Brett C Witt</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202263402503</CreditcardNumber>
      <NameonCreditcard>sonja  Witt</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>28.6</CreditcardAmount>
      <CreditcardCodeNumber>437</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b9e0fc7e
ARS-01-0030009
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0030009</PolicyNumber><UserName>b9e0fc7e</UserName><Password>b9e0fc7e</Password></PolicyDetails></RegistrationRes>