54.160.242.53
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/27/2014</StartDate>
  <EndDate>12/01/2014</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Gary</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Bragg</Lastname>
    <Age>58</Age>
    <Dob>09/17/1956</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Shirley</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Bragg</Lastname>
    <Age>62</Age>
    <Dob>05/05/1952</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/27/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>912 S Fairfield Ave</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Illinois</State>
      <City>Lombard</City>
      <Postcode>60148</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>gbragg133@yahoo.com</Email>
    <Phone>
      <Home>6305193189</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Gary James Bragg</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5424180866747626</CreditcardNumber>
      <NameonCreditcard>Gary Bragg</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>44.15</CreditcardAmount>
      <CreditcardCodeNumber>385</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
3dfe3c31
16031319
ARS-02-0018831
ARS-02-0018832
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018831</PolicyNumber><UserName>3dfe3c31</UserName><Password>3dfe3c31</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0018832</PolicyNumber><UserName>16031319</UserName><Password>16031319</Password></PolicyDetails></RegistrationRes>