54.226.61.71
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/18/2014</StartDate>
  <EndDate>01/21/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>MICHELE</Firstname>
    <Middlename>D</Middlename>
    <Lastname>DOS SANTOS</Lastname>
    <Age>31</Age>
    <Dob>12/10/1983</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/18/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>RUA IRMAOS VIEIRA, 221, BL B, APTO 1006, BAIRRO CAMPINAS</Address1>
      <Address2></Address2>
      <Country>Brazil</Country>
      <State></State>
      <City>SAO JOSE</City>
      <Postcode>88101290</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>michelinhad@hotmail.com</Email>
    <Phone>
      <Home>554899454141</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5273540070072370</CreditcardNumber>
      <NameonCreditcard>FERNANDO MARCON TAV</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>98.7</CreditcardAmount>
      <CreditcardCodeNumber>870</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
61cd6b4a
ARS-02-0019105
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0019105</PolicyNumber><UserName>61cd6b4a</UserName><Password>61cd6b4a</Password></PolicyDetails></RegistrationRes>