54.226.61.71
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/29/2014</StartDate>
  <EndDate>01/03/2015</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>5</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Elizabeth</Firstname>
    <Middlename/>
    <Lastname>Page</Lastname>
    <Age>55</Age>
    <Dob>10/28/1959</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>David </Firstname>
    <Middlename/>
    <Lastname>Page</Lastname>
    <Age>58</Age>
    <Dob>07/06/1956</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Charlotte</Firstname>
    <Middlename/>
    <Lastname>Page</Lastname>
    <Age>24</Age>
    <Dob>08/07/1990</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Julia</Firstname>
    <Middlename/>
    <Lastname>Page</Lastname>
    <Age>20</Age>
    <Dob>06/23/1994</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Lucy</Firstname>
    <Middlename/>
    <Lastname>Page</Lastname>
    <Age>20</Age>
    <Dob>06/23/1994</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/29/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>26 Brooks St</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Massachusetts</State>
      <City>Winchester</City>
      <Postcode>01890</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ehpage@verizon.net</Email>
    <Phone>
      <Home>7817292684</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147099577775461</CreditcardNumber>
      <NameonCreditcard>Elizabeth  Page</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>52.02</CreditcardAmount>
      <CreditcardCodeNumber>574</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8bcd26d3
65e1a9e8
badd4e43
bdb12d35
95159e7e
ARS-01-0019035
ARS-01-0019036
ARS-01-0019037
ARS-01-0019038
ARS-01-0019039
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0019035</PolicyNumber><UserName>8bcd26d3</UserName><Password>8bcd26d3</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0019036</PolicyNumber><UserName>65e1a9e8</UserName><Password>65e1a9e8</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0019037</PolicyNumber><UserName>badd4e43</UserName><Password>badd4e43</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0019038</PolicyNumber><UserName>bdb12d35</UserName><Password>bdb12d35</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0019039</PolicyNumber><UserName>95159e7e</UserName><Password>95159e7e</Password></PolicyDetails></RegistrationRes>