54.226.34.195
<?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>01/05/2015</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Evian</Firstname>
    <Middlename/>
    <Lastname>Gutman</Lastname>
    <Age>30</Age>
    <Dob>02/21/1984</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Jonathan</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Lemish</Lastname>
    <Age>30</Age>
    <Dob>05/23/1984</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/24/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>344 3rd Avenue</Address1>
      <Address2>8G</Address2>
      <Country>Australia</Country>
      <State></State>
      <City>New York</City>
      <Postcode>10010</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>evian.gutman@gmail.com</Email>
    <Phone>
      <Home>7143317283</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Tom Gutman</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5353181800250300</CreditcardNumber>
      <NameonCreditcard>Evian  Gutman</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>26.0</CreditcardAmount>
      <CreditcardCodeNumber>108</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
69f57e19
7e87db1d
ARS-01-0019153
ARS-01-0019154
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0019153</PolicyNumber><UserName>69f57e19</UserName><Password>69f57e19</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0019154</PolicyNumber><UserName>7e87db1d</UserName><Password>7e87db1d</Password></PolicyDetails></RegistrationRes>