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>10/31/2014</StartDate>
  <EndDate>11/02/2014</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Michael</Firstname>
    <Middlename>Y</Middlename>
    <Lastname>Yee</Lastname>
    <Age>38</Age>
    <Dob>09/19/1976</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/31/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>40 Nouvelle Way Unit N744</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Massachusetts</State>
      <City>Natick</City>
      <Postcode>01760</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>yeemi8@yahoo.com</Email>
    <Phone>
      <Home>5086550142</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4075292000768577</CreditcardNumber>
      <NameonCreditcard>Michael Y Yee</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>9.4</CreditcardAmount>
      <CreditcardCodeNumber>378</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5c034fd5
ARS-02-0018611
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018611</PolicyNumber><UserName>5c034fd5</UserName><Password>5c034fd5</Password></PolicyDetails></RegistrationRes>