174.129.122.238
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/13/2016</StartDate>
  <EndDate>10/12/2017</EndDate>
  <DestinationPlan>Ecuador</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Shannon</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Coffin</Lastname>
    <Age>31</Age>
    <Dob>01/02/1985</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/13/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>123 Manion Rd</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Carp</City>
      <Postcode>K0A1L0</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>shannon.coffin@gmail.com</Email>
    <Phone>
      <Home>6132927989</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Margaret Offley</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4514078525818263</CreditcardNumber>
      <NameonCreditcard>Shannon D Coffin</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>410.63</CreditcardAmount>
      <CreditcardCodeNumber>046</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b7ca71cf
ARS-01-0030023
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0030023</PolicyNumber><UserName>b7ca71cf</UserName><Password>b7ca71cf</Password></PolicyDetails></RegistrationRes>