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>11/02/2016</StartDate>
  <EndDate>11/14/2016</EndDate>
  <DestinationPlan>Australia</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Adam</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Leibhardt</Lastname>
    <Age>26</Age>
    <Dob>07/19/1990</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Rebekah</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Leibhardt</Lastname>
    <Age>25</Age>
    <Dob>08/07/1991</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/02/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>523 Broadway E</Address1>
      <Address2>624</Address2>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Seattle</City>
      <Postcode>98102</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>aleibhardt@live.com.au</Email>
    <Phone>
      <Home>2069928479</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5132550002149767</CreditcardNumber>
      <NameonCreditcard>Adam J Leibhardt</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>19.76</CreditcardAmount>
      <CreditcardCodeNumber>679</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e33d1a1d
83ca9bc8
ARS-01-0030394
ARS-01-0030395
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0030394</PolicyNumber><UserName>e33d1a1d</UserName><Password>e33d1a1d</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0030395</PolicyNumber><UserName>83ca9bc8</UserName><Password>83ca9bc8</Password></PolicyDetails></RegistrationRes>