184.72.211.106
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/02/2016</StartDate>
  <EndDate>11/09/2016</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Heather</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Weber</Lastname>
    <Age>26</Age>
    <Dob>04/30/1990</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/02/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>823 Netherlands Drive</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Tennessee</State>
      <City>Hermitage</City>
      <Postcode>37076</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>heatheraweb@hotmail.com</Email>
    <Phone>
      <Home>6159186865</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Candace Weber</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Step-parents</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4744870023505158</CreditcardNumber>
      <NameonCreditcard>Heather A Weber</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>9.92</CreditcardAmount>
      <CreditcardCodeNumber>982</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
393027d2
ARS-02-0030386
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0030386</PolicyNumber><UserName>393027d2</UserName><Password>393027d2</Password></PolicyDetails></RegistrationRes>