52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/23/2016</StartDate>
  <EndDate>12/29/2016</EndDate>
  <DestinationPlan>Portugal</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Kaillie </Firstname>
    <Middlename>A</Middlename>
    <Lastname>Pezik</Lastname>
    <Age>33</Age>
    <Dob>06/25/1983</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Benjamin</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Pezik</Lastname>
    <Age>33</Age>
    <Dob>10/07/1983</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/23/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>19 Sandy Coast Cres</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Wasaga Beach</City>
      <Postcode>L9Z 0G1</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kailliepezik@yahoo.ca</Email>
    <Phone>
      <Home>7055439372</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4538016513363035</CreditcardNumber>
      <NameonCreditcard>Dr Benjamin J Pezik</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>12.6</CreditcardAmount>
      <CreditcardCodeNumber>724</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d5172f4d
edc81aa3
ARS-01-0031354
ARS-01-0031355
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0031354</PolicyNumber><UserName>d5172f4d</UserName><Password>d5172f4d</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0031355</PolicyNumber><UserName>edc81aa3</UserName><Password>edc81aa3</Password></PolicyDetails></RegistrationRes>