54.160.242.53
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>12/10/2014</StartDate>
  <EndDate>01/15/2015</EndDate>
  <DestinationPlan>Honduras</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Laurel</Firstname>
    <Middlename/>
    <Lastname>Doucet</Lastname>
    <Age>53</Age>
    <Dob>10/23/1961</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>David</Firstname>
    <Middlename/>
    <Lastname>Doucet</Lastname>
    <Age>54</Age>
    <Dob>07/09/1960</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/10/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1621 East Vanetta Lane</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Spokane</City>
      <Postcode>99216</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>outdriftin@gmail.com</Email>
    <Phone>
      <Home>4174007468</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4867967005652544</CreditcardNumber>
      <NameonCreditcard>Laurel C Doucet</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>285.64</CreditcardAmount>
      <CreditcardCodeNumber>479</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e96846b5
3c21ecf6
ARS-01-0018991
ARS-01-0018992
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0018991</PolicyNumber><UserName>e96846b5</UserName><Password>e96846b5</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0018992</PolicyNumber><UserName>3c21ecf6</UserName><Password>3c21ecf6</Password></PolicyDetails></RegistrationRes>