52.91.49.203
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>12/27/2015</StartDate>
  <EndDate>01/09/2016</EndDate>
  <DestinationPlan>Germany</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Shelbi</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Swanson</Lastname>
    <Age>21</Age>
    <Dob>11/09/1994</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/27/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1210 Crane Blvd</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Sugarloaf Key</City>
      <Postcode>33042</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>sshelbia@gmail.com</Email>
    <Phone>
      <Home>3053945581</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Christopher Kennedy</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Significant other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4110560000511073</CreditcardNumber>
      <NameonCreditcard>Shelbi A Swanson</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>21.5</CreditcardAmount>
      <CreditcardCodeNumber>274</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
47f5e1ee
ARS-01-0024428
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0024428</PolicyNumber><UserName>47f5e1ee</UserName><Password>47f5e1ee</Password></PolicyDetails></RegistrationRes>