54.167.122.208
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>1000</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>12/05/2014</StartDate>
  <EndDate>12/08/2014</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Pietro </Firstname>
    <Middlename>G</Middlename>
    <Lastname>Renucci</Lastname>
    <Age>56</Age>
    <Dob>04/18/1958</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Ding </Firstname>
    <Middlename/>
    <Lastname>Zhu</Lastname>
    <Age>60</Age>
    <Dob>10/29/1954</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/05/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>303 6th Ave, Kirkland. Apt B</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Kirkland</City>
      <Postcode>98033</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>pete3712@hotmail.com</Email>
    <Phone>
      <Home>5129033578</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4803270026464511</CreditcardNumber>
      <NameonCreditcard>Pietro  G Renucci</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>35.84</CreditcardAmount>
      <CreditcardCodeNumber>537</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
747f66be
351f489c
ARS-01-0018940
ARS-01-0018941
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0018940</PolicyNumber><UserName>747f66be</UserName><Password>747f66be</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0018941</PolicyNumber><UserName>351f489c</UserName><Password>351f489c</Password></PolicyDetails></RegistrationRes>