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>12/28/2014</StartDate>
  <EndDate>01/07/2015</EndDate>
  <DestinationPlan>Tanzania</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Eran</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Penini</Lastname>
    <Age>37</Age>
    <Dob>09/27/1977</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Jennifer</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Hunt</Lastname>
    <Age>31</Age>
    <Dob>06/14/1983</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/28/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>57 prince street apt 4f</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>New York</City>
      <Postcode>10012</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>epenini@inlecapital.com</Email>
    <Phone>
      <Home>2127679897</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Guy Penini</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>377292277015002</CreditcardNumber>
      <NameonCreditcard>Eran E Penini</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>22.0</CreditcardAmount>
      <CreditcardCodeNumber>8800</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
33125df6
5b7a5283
ARS-01-0019175
ARS-01-0019176
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0019175</PolicyNumber><UserName>33125df6</UserName><Password>33125df6</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0019176</PolicyNumber><UserName>5b7a5283</UserName><Password>5b7a5283</Password></PolicyDetails></RegistrationRes>