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>12/24/2014</StartDate>
  <EndDate>01/01/2015</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Robert</Firstname>
    <Middlename/>
    <Lastname>Sassoon</Lastname>
    <Age>56</Age>
    <Dob>01/11/1958</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Simon</Firstname>
    <Middlename>Y</Middlename>
    <Lastname>Sassoon</Lastname>
    <Age>16</Age>
    <Dob>05/03/1998</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/24/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>15 Sherwood Lane</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>Cedarhurst</City>
      <Postcode>11516</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>robrivsas@verizon.net</Email>
    <Phone>
      <Home>5162393424</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Rebecca Sassoon</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5491098698685558</CreditcardNumber>
      <NameonCreditcard>Robert Sassoon</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>34.74</CreditcardAmount>
      <CreditcardCodeNumber>724</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
64371df6
6dad462c
ARS-01-0019149
ARS-01-0019150
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0019149</PolicyNumber><UserName>64371df6</UserName><Password>64371df6</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0019150</PolicyNumber><UserName>6dad462c</UserName><Password>6dad462c</Password></PolicyDetails></RegistrationRes>