184.72.211.106
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>11/05/2016</StartDate>
  <EndDate>04/05/2017</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Carol</Firstname>
    <Middlename/>
    <Lastname>Patton</Lastname>
    <Age>70</Age>
    <Dob>06/19/1946</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Ronald</Firstname>
    <Middlename/>
    <Lastname>Patton</Lastname>
    <Age>72</Age>
    <Dob>04/13/1944</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/05/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>13111 Blundell Rd.</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>British Columbia</State>
      <City>Richmond</City>
      <Postcode>V6W1B6</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>crpatton13111@hotmail.com</Email>
    <Phone>
      <Home>6042786534</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4530912233505046</CreditcardNumber>
      <NameonCreditcard>Ronald E Patton</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>2188.8</CreditcardAmount>
      <CreditcardCodeNumber>902</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
84fb09e2
edf16304
ARS-02-0030352
ARS-02-0030353
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0030352</PolicyNumber><UserName>84fb09e2</UserName><Password>84fb09e2</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0030353</PolicyNumber><UserName>edf16304</UserName><Password>edf16304</Password></PolicyDetails></RegistrationRes>