52.91.49.203
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/17/2015</StartDate>
  <EndDate>01/20/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jose Hernan</Firstname>
    <Middlename/>
    <Lastname>Gomez-Rivera</Lastname>
    <Age>24</Age>
    <Dob>04/30/1991</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/17/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Nuevo Lourdes Poniente II</Address1>
      <Address2>Senda el sauce, Poligono 22, Casa 10</Address2>
      <Country>El Salvador</Country>
      <State/>
      <City>San Salvador</City>
      <Postcode>0614</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>colin_mcginnis@hotmail.com</Email>
    <Phone>
      <Home>4102151104</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Colin McGinnis</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Friends</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5259864345262972</CreditcardNumber>
      <NameonCreditcard>colin patrick mcginnis</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>48.3</CreditcardAmount>
      <CreditcardCodeNumber>046</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
7a3c4b90
ARS-02-0024345
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0024345</PolicyNumber><UserName>7a3c4b90</UserName><Password>7a3c4b90</Password></PolicyDetails></RegistrationRes>