52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/10/2016</StartDate>
  <EndDate>11/14/2016</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jan</Firstname>
    <Middlename/>
    <Lastname>Vandenbos</Lastname>
    <Age>48</Age>
    <Dob>08/13/1968</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>John</Firstname>
    <Middlename/>
    <Lastname>Vandenbos</Lastname>
    <Age>12</Age>
    <Dob>12/02/2003</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/10/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>15321 main street</Address1>
      <Address2>Suite 102 box 144</Address2>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Duvall</City>
      <Postcode>98019</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jan.vandenbos@gmail.com</Email>
    <Phone>
      <Home>4252097688</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jennifer Vandenbos</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5287491087643106</CreditcardNumber>
      <NameonCreditcard>Jan  Vandenbos</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>18.0</CreditcardAmount>
      <CreditcardCodeNumber>452</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
39b54586
7e81904d
ARS-02-0030542
ARS-02-0030543
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0030542</PolicyNumber><UserName>39b54586</UserName><Password>39b54586</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0030543</PolicyNumber><UserName>7e81904d</UserName><Password>7e81904d</Password></PolicyDetails></RegistrationRes>