52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>01/19/2017</StartDate>
  <EndDate>01/31/2017</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>William</Firstname>
    <Middlename>C</Middlename>
    <Lastname>Bowler</Lastname>
    <Age>30</Age>
    <Dob>08/14/1986</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/19/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>4043 Crestwood Dr</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Wisconsin</State>
      <City>Wausau</City>
      <Postcode>54403</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>bbowler08@gmail.com</Email>
    <Phone>
      <Home>9063602305</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5544626171360849</CreditcardNumber>
      <NameonCreditcard>William A Bowler MD</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>38.67</CreditcardAmount>
      <CreditcardCodeNumber>712</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5ee46e8f
ARS-02-0031845
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0031845</PolicyNumber><UserName>5ee46e8f</UserName><Password>5ee46e8f</Password></PolicyDetails></RegistrationRes>