54.160.242.53
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>02/27/2015</StartDate>
  <EndDate>04/27/2015</EndDate>
  <DestinationPlan>Italy</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Graham</Firstname>
    <Middlename/>
    <Lastname>Wright</Lastname>
    <Age>79</Age>
    <Dob>07/30/1935</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/27/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>555 Granville Road </Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>Nova Scotia</State>
      <City>Granville Ferry</City>
      <Postcode>bos1ko</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>grambet@eastlink.ca</Email>
    <Phone>
      <Home>5025320717</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4514011804518643</CreditcardNumber>
      <NameonCreditcard>Graham  Wright</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>387.0</CreditcardAmount>
      <CreditcardCodeNumber>200</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4dc2a4d5
ARS-01-0018806
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0018806</PolicyNumber><UserName>4dc2a4d5</UserName><Password>4dc2a4d5</Password></PolicyDetails></RegistrationRes>