52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>02/03/2017</StartDate>
  <EndDate>05/10/2017</EndDate>
  <DestinationPlan>Russian Federation</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Matthew</Firstname>
    <Middlename>W</Middlename>
    <Lastname>Whiddon</Lastname>
    <Age>51</Age>
    <Dob>04/15/1965</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/03/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3780 Knoll Lane</Address1>
      <Address2>#22</Address2>
      <Country>United States</Country>
      <State>Colorado</State>
      <City>Colorado Springs</City>
      <Postcode>80917</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mwhidd@aol.com</Email>
    <Phone>
      <Home>5059225230</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Mercedes Cawley-Whiddon</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4465420163200447</CreditcardNumber>
      <NameonCreditcard>Matthew W Whiddon</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>252.2</CreditcardAmount>
      <CreditcardCodeNumber>354</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ae9e3e1c
ARS-01-0031929
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0031929</PolicyNumber><UserName>ae9e3e1c</UserName><Password>ae9e3e1c</Password></PolicyDetails></RegistrationRes>