184.72.211.106
<?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>11/18/2016</EndDate>
  <DestinationPlan>Ireland</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Leslie</Firstname>
    <Middlename/>
    <Lastname>Fisher</Lastname>
    <Age>28</Age>
    <Dob>11/01/1988</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/03/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>12 Lewis Street</Address1>
      <Address2>PO BX 451</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>Dryden</City>
      <Postcode>13053</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>fisherjane@yahoo.com</Email>
    <Phone>
      <Home>6077938219</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202220195935</CreditcardNumber>
      <NameonCreditcard>Leslie  Fisher</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>12.16</CreditcardAmount>
      <CreditcardCodeNumber>855</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f3fccad6
ARS-01-0030412
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0030412</PolicyNumber><UserName>f3fccad6</UserName><Password>f3fccad6</Password></PolicyDetails></RegistrationRes>