52.91.49.203
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/21/2015</StartDate>
  <EndDate>04/16/2016</EndDate>
  <DestinationPlan>Indonesia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Adrienne</Firstname>
    <Middlename>C</Middlename>
    <Lastname>Creer</Lastname>
    <Age>27</Age>
    <Dob>05/20/1988</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/21/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1> 1928 S. Adams St.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Spokane</City>
      <Postcode>99203</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>adrienne.creer@gmail.com</Email>
    <Phone>
      <Home>5092701333</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147098544748189</CreditcardNumber>
      <NameonCreditcard>Adrienne Creer</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>150.45</CreditcardAmount>
      <CreditcardCodeNumber>376</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b7957d13
ARS-01-0024182
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0024182</PolicyNumber><UserName>b7957d13</UserName><Password>b7957d13</Password></PolicyDetails></RegistrationRes>