54.226.61.71
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/31/2014</StartDate>
  <EndDate>01/13/2015</EndDate>
  <DestinationPlan>Colombia</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Richard</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Kent</Lastname>
    <Age>33</Age>
    <Dob>06/21/1981</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Nathalia</Firstname>
    <Middlename/>
    <Lastname>Santos Ocasio</Lastname>
    <Age>23</Age>
    <Dob>09/26/1991</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/31/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3450 rue Hutchison</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>Quebec</State>
      <City>Montreal</City>
      <Postcode>H2X 2G5</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>richiekent1@gmail.com</Email>
    <Phone>
      <Home>8456840140</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Candace Greene Hurley</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Discover</CreditcardType>
      <CreditcardNumber>6011004450212044</CreditcardNumber>
      <NameonCreditcard>Richard Andrew Kent</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>45.64</CreditcardAmount>
      <CreditcardCodeNumber>269</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4ae4b87e
29c8b091
ARS-02-0019211
ARS-02-0019212
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0019211</PolicyNumber><UserName>4ae4b87e</UserName><Password>4ae4b87e</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0019212</PolicyNumber><UserName>29c8b091</UserName><Password>29c8b091</Password></PolicyDetails></RegistrationRes>