54.160.242.53
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>12/02/2014</StartDate>
  <EndDate>04/30/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Robert</Firstname>
    <Middlename>F</Middlename>
    <Lastname>STANISTREET</Lastname>
    <Age>69</Age>
    <Dob>07/31/1945</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>DONNA</Firstname>
    <Middlename>M</Middlename>
    <Lastname>STANISTREET</Lastname>
    <Age>64</Age>
    <Dob>06/23/1950</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/02/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>PO Box 434</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Ridgeway</City>
      <Postcode>L0S 1N0</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>RSTANISTREET@GMAIL.COM</Email>
    <Phone>
      <Home>12893020564</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>LORI A MCNEIL</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4900803200126969</CreditcardNumber>
      <NameonCreditcard>Robert F STANISTREET</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>2467.5</CreditcardAmount>
      <CreditcardCodeNumber>407</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
33a78821
8206bc61
ARS-02-0018881
ARS-02-0018882
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018881</PolicyNumber><UserName>33a78821</UserName><Password>33a78821</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0018882</PolicyNumber><UserName>8206bc61</UserName><Password>8206bc61</Password></PolicyDetails></RegistrationRes>