174.129.122.238
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/03/2016</StartDate>
  <EndDate>11/13/2016</EndDate>
  <DestinationPlan>Saint Barthelemy</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>BLAIR</Firstname>
    <Middlename>W</Middlename>
    <Lastname>CHIVERS</Lastname>
    <Age>53</Age>
    <Dob>05/03/1963</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/03/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2 HOWLAND AVE</Address1>
      <Address2>UNIT 3</Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>TORONTO</City>
      <Postcode>M5R 3B3</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>BC@BLAIRCHIVERS.COM</Email>
    <Phone>
      <Home>4168588935</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>ARDELL CHIVERS</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5280610002442297</CreditcardNumber>
      <NameonCreditcard>Blair W Chivers</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>28.6</CreditcardAmount>
      <CreditcardCodeNumber>101</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
80ae8026
ARS-01-0030389
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0030389</PolicyNumber><UserName>80ae8026</UserName><Password>80ae8026</Password></PolicyDetails></RegistrationRes>