184.72.211.106
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>10/15/2016</StartDate>
  <EndDate>12/12/2016</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Bill</Firstname>
    <Middlename>C</Middlename>
    <Lastname>Bowler</Lastname>
    <Age>30</Age>
    <Dob>08/14/1986</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/15/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>4043 Crestwood Dr</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Wisconsin</State>
      <City>Wausau</City>
      <Postcode>54403</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>bbowler08@gmail.com</Email>
    <Phone>
      <Home>9063602305</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>William A. Bowler</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5544626171111549</CreditcardNumber>
      <NameonCreditcard>William Bowler</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>143.58</CreditcardAmount>
      <CreditcardCodeNumber>251</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
2b1dc66d
ARS-02-0030056
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0030056</PolicyNumber><UserName>2b1dc66d</UserName><Password>2b1dc66d</Password></PolicyDetails></RegistrationRes>