54.167.122.208
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>12/06/2014</StartDate>
  <EndDate>12/23/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Marianela</Firstname>
    <Middlename/>
    <Lastname>Chacon</Lastname>
    <Age>40</Age>
    <Dob>09/06/1974</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Daniela</Firstname>
    <Middlename/>
    <Lastname>Vargas</Lastname>
    <Age>19</Age>
    <Dob>10/29/1995</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/06/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>50 m. Oeste de La Oficina Policial</Address1>
      <Address2></Address2>
      <Country>Costa Rica</Country>
      <State></State>
      <City>Alajuela</City>
      <Postcode>00000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>eugalde341@hotmail.com</Email>
    <Phone>
      <Home>6027215091</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Eduardo Ugalde</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Cousin</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4339930019597709</CreditcardNumber>
      <NameonCreditcard>Eduardo Ugalde</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>161.55</CreditcardAmount>
      <CreditcardCodeNumber>385</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
cbf2dfc8
a929288a
ARS-02-0018932
ARS-02-0018933
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018932</PolicyNumber><UserName>cbf2dfc8</UserName><Password>cbf2dfc8</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0018933</PolicyNumber><UserName>a929288a</UserName><Password>a929288a</Password></PolicyDetails></RegistrationRes>