54.234.136.133
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/15/2015</StartDate>
  <EndDate>10/31/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>André</Firstname>
    <Middlename/>
    <Lastname>Labonté</Lastname>
    <Age>58</Age>
    <Dob>12/06/1956</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/15/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3850 Rang Saint-Anne</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Quebec</State>
      <City>St-Norbert</City>
      <Postcode>J0K 3C0</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>vlviladomat@cavalia.net</Email>
    <Phone>
      <Home>5147773340</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>373310856463015</CreditcardNumber>
      <NameonCreditcard>David Latourelle</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>68.85</CreditcardAmount>
      <CreditcardCodeNumber>9760</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
58fcbf76
ARS-02-0023563
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0023563</PolicyNumber><UserName>58fcbf76</UserName><Password>58fcbf76</Password></PolicyDetails></RegistrationRes>