184.72.211.106
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>12/28/2016</StartDate>
  <EndDate>10/05/2017</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>martha</Firstname>
    <Middlename/>
    <Lastname>michaels</Lastname>
    <Age>59</Age>
    <Dob>07/19/1957</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Jeffrey </Firstname>
    <Middlename/>
    <Lastname>Oneal</Lastname>
    <Age>59</Age>
    <Dob>01/24/1957</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/28/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3600 Purdue Ave</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Los Angeles</City>
      <Postcode>90066</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>martha_michaels@yahoo.com</Email>
    <Phone>
      <Home>4086563602</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Andrew Oneal</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5249370005828626</CreditcardNumber>
      <NameonCreditcard>martha  michaels</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>1703.28</CreditcardAmount>
      <CreditcardCodeNumber>585</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
578eb3dc
fa78dff5
ARS-01-0030163
ARS-01-0030164
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0030163</PolicyNumber><UserName>578eb3dc</UserName><Password>578eb3dc</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0030164</PolicyNumber><UserName>fa78dff5</UserName><Password>fa78dff5</Password></PolicyDetails></RegistrationRes>