52.91.53.224
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/23/2015</StartDate>
  <EndDate>12/20/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Marine</Firstname>
    <Middlename/>
    <Lastname>Gourdon</Lastname>
    <Age>28</Age>
    <Dob>01/03/1987</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/23/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3 Rue du Gai Sapinaud</Address1>
      <Address2/>
      <Country>France</Country>
      <State/>
      <City>St Laurents, Sèvre</City>
      <Postcode>85290</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>vlviladomat@cavalia.net</Email>
    <Phone>
      <Home>0630921563</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>373310856463015</CreditcardNumber>
      <NameonCreditcard>David Latourelle</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>38.64</CreditcardAmount>
      <CreditcardCodeNumber>9760</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
3f7f013b
ARS-02-0024007
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0024007</PolicyNumber><UserName>3f7f013b</UserName><Password>3f7f013b</Password></PolicyDetails></RegistrationRes>