52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>01/17/2019</StartDate>
  <EndDate>02/28/2019</EndDate>
  <DestinationPlan>Peru</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ralph</Firstname>
    <Middlename>W</Middlename>
    <Lastname>Riccio</Lastname>
    <Age>37</Age>
    <Dob>05/16/1981</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/17/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>737</Address1>
      <Address2>Grant Street</Address2>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Sequim</City>
      <Postcode>98368</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>RALPH.RICCIO@GMAIL.COM</Email>
    <Phone>
      <Home>3604603240</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Alana Lee Linderoth</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Significant other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379737177483005</CreditcardNumber>
      <NameonCreditcard>Ralph  Riccio</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>58.05</CreditcardAmount>
      <CreditcardCodeNumber>5916</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
536d91d2
701927964

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701927964</PolicyNumber><UserName>536d91d2</UserName><Password>536d91d2</Password></PolicyDetails></RegistrationRes>