52.91.49.203
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/27/2015</StartDate>
  <EndDate>12/05/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Julien</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Marcou</Lastname>
    <Age>38</Age>
    <Dob>06/07/1977</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/27/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>47 rue Greneta</Address1>
      <Address2/>
      <Country>France</Country>
      <State/>
      <City>Paris</City>
      <Postcode>75002</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>julienmarcou@aol.com</Email>
    <Phone>
      <Home>33663317237</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5451984693913574</CreditcardNumber>
      <NameonCreditcard>Emmanuel P Ceysson</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>16.92</CreditcardAmount>
      <CreditcardCodeNumber>352</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a76e8bd4
ARS-02-0024000
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0024000</PolicyNumber><UserName>a76e8bd4</UserName><Password>a76e8bd4</Password></PolicyDetails></RegistrationRes>