54.167.122.208
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/18/2014</StartDate>
  <EndDate>01/08/2015</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Bradley</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Dalton</Lastname>
    <Age>36</Age>
    <Dob>01/23/1978</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/18/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Via La Spezia 74</Address1>
      <Address2></Address2>
      <Country>Italy</Country>
      <State></State>
      <City>Roma</City>
      <Postcode>00182</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>daltonbradley@hotmail.com</Email>
    <Phone>
      <Home>393462397371</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Andrew David Oates</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Friends</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4282087097772246</CreditcardNumber>
      <NameonCreditcard>Bradley M Dalton</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>22.0</CreditcardAmount>
      <CreditcardCodeNumber>896</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
7e44ead4
ARS-01-0018949
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0018949</PolicyNumber><UserName>7e44ead4</UserName><Password>7e44ead4</Password></PolicyDetails></RegistrationRes>