54.167.122.208
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/20/2014</StartDate>
  <EndDate>08/31/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Bernat</Firstname>
    <Middlename/>
    <Lastname>Adrià Mora</Lastname>
    <Age>28</Age>
    <Dob>09/17/1986</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Maria</Firstname>
    <Middlename/>
    <Lastname>Grau Pérez</Lastname>
    <Age>26</Age>
    <Dob>12/13/1987</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/20/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Avda. dels Furs nº 12, 10</Address1>
      <Address2></Address2>
      <Country>Spain</Country>
      <State></State>
      <City>Llíria (Valencia)</City>
      <Postcode>46160</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>bernat.adria.mora@gmail.com</Email>
    <Phone>
      <Home>0034667855744</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4599080447568628</CreditcardNumber>
      <NameonCreditcard>Bernat  Adrià Mora</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>872.16</CreditcardAmount>
      <CreditcardCodeNumber>776</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
2e6fb923
5826ed3e
ARS-02-0018451
ARS-02-0018452
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018451</PolicyNumber><UserName>2e6fb923</UserName><Password>2e6fb923</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0018452</PolicyNumber><UserName>5826ed3e</UserName><Password>5826ed3e</Password></PolicyDetails></RegistrationRes>