54.226.61.71
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>12/21/2014</StartDate>
  <EndDate>12/28/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Maria Victoria Isabel</Firstname>
    <Middlename/>
    <Lastname>Coll Y Carabias</Lastname>
    <Age>70</Age>
    <Dob>06/16/1944</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/21/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Bosque de Minas 27 - 403</Address1>
      <Address2>Bosques de la Herradura</Address2>
      <Country>Mexico</Country>
      <State></State>
      <City>Mexico</City>
      <Postcode>52783</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>sloizaga@outlook.com</Email>
    <Phone>
      <Home>525552954275</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Santiago Loizaga Coll</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379726578154000</CreditcardNumber>
      <NameonCreditcard>Santiago Loizaga</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>64.96</CreditcardAmount>
      <CreditcardCodeNumber>7512</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f2dc1b88
ARS-02-0019044
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0019044</PolicyNumber><UserName>f2dc1b88</UserName><Password>f2dc1b88</Password></PolicyDetails></RegistrationRes>