54.160.242.53
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/07/2014</StartDate>
  <EndDate>11/16/2014</EndDate>
  <DestinationPlan>Panama</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Sharon</Firstname>
    <Middlename/>
    <Lastname>Mitchel</Lastname>
    <Age>63</Age>
    <Dob>06/07/1951</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Steven</Firstname>
    <Middlename/>
    <Lastname>Mitchel</Lastname>
    <Age>68</Age>
    <Dob>05/22/1946</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/07/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>231Victoria Loop</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Port Townsend</City>
      <Postcode>98368</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>slmitchel231@gmail.com</Email>
    <Phone>
      <Home>3603019200</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kathy clark</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4366189299117417</CreditcardNumber>
      <NameonCreditcard>Sharon  Mitchel</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>79.4</CreditcardAmount>
      <CreditcardCodeNumber>571</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e25421de
fda79bf8
ARS-01-0018660
ARS-01-0018661
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0018660</PolicyNumber><UserName>e25421de</UserName><Password>e25421de</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0018661</PolicyNumber><UserName>fda79bf8</UserName><Password>fda79bf8</Password></PolicyDetails></RegistrationRes>