54.167.122.208
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/02/2014</StartDate>
  <EndDate>11/16/2014</EndDate>
  <DestinationPlan>Australia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>josie</Firstname>
    <Middlename/>
    <Lastname>smith</Lastname>
    <Age>28</Age>
    <Dob>12/20/1985</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/02/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>977 N Main Street</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Utah</State>
      <City>Orem</City>
      <Postcode>84057</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>smijd007@gmail.com</Email>
    <Phone>
      <Home>8017170086</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Joshua Smith</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4680180013756084</CreditcardNumber>
      <NameonCreditcard>josie  smith</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>12.75</CreditcardAmount>
      <CreditcardCodeNumber>982</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
17f4b315
ARS-01-0018628
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0018628</PolicyNumber><UserName>17f4b315</UserName><Password>17f4b315</Password></PolicyDetails></RegistrationRes>