52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/17/2016</StartDate>
  <EndDate>11/24/2016</EndDate>
  <DestinationPlan>Colombia</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Juan</Firstname>
    <Middlename>G</Middlename>
    <Lastname>Escobar</Lastname>
    <Age>33</Age>
    <Dob>03/12/1983</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Vanessa</Firstname>
    <Middlename/>
    <Lastname>Vergara</Lastname>
    <Age>30</Age>
    <Dob>06/04/1986</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/17/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>6971 sw 19 street</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Pompano Beach</City>
      <Postcode>33068</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>juanescobar312@gmail.com</Email>
    <Phone>
      <Home>3057731033</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Claudia Gomez</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Parents-in-law</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4128004035011759</CreditcardNumber>
      <NameonCreditcard>Juan G Escobar</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>14.4</CreditcardAmount>
      <CreditcardCodeNumber>595</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
2ac42eaa
6242a08d
ARS-01-0030664
ARS-01-0030665
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0030664</PolicyNumber><UserName>2ac42eaa</UserName><Password>2ac42eaa</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0030665</PolicyNumber><UserName>6242a08d</UserName><Password>6242a08d</Password></PolicyDetails></RegistrationRes>