52.91.53.224
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/05/2015</StartDate>
  <EndDate>11/12/2015</EndDate>
  <DestinationPlan>Poland</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Neil</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Walsky</Lastname>
    <Age>28</Age>
    <Dob>09/03/1987</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/05/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2120 Stanford Drive</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Alaska</State>
      <City>Anchorage</City>
      <Postcode>99508</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>walsky@icloud.com</Email>
    <Phone>
      <Home>9072764696</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>agnes walsky</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4465420199957754</CreditcardNumber>
      <NameonCreditcard>Neil S Walsky</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>8.16</CreditcardAmount>
      <CreditcardCodeNumber>799</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
dd1dfea9
ARS-01-0023845
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0023845</PolicyNumber><UserName>dd1dfea9</UserName><Password>dd1dfea9</Password></PolicyDetails></RegistrationRes>