54.160.242.53
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>10/17/2014</StartDate>
  <EndDate>10/19/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Monica</Firstname>
    <Middlename/>
    <Lastname>Partridge</Lastname>
    <Age>66</Age>
    <Dob>07/12/1948</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Robert</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Partridge</Lastname>
    <Age>68</Age>
    <Dob>03/11/1946</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/17/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>189 Balmoral Drive</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Brantford</City>
      <Postcode>N3R 7S2</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>monicapartridge@hotmail.com</Email>
    <Phone>
      <Home>5197521064</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5191809612524142</CreditcardNumber>
      <NameonCreditcard>Monica  Partridge</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>92.5</CreditcardAmount>
      <CreditcardCodeNumber>272</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8e3d1474
e433ebb9
ARS-02-0018470
ARS-02-0018471
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018470</PolicyNumber><UserName>8e3d1474</UserName><Password>8e3d1474</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0018471</PolicyNumber><UserName>e433ebb9</UserName><Password>e433ebb9</Password></PolicyDetails></RegistrationRes>