52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>03/03/2018</StartDate>
  <EndDate>03/09/2018</EndDate>
  <DestinationPlan>Iceland</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>George</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Willis</Lastname>
    <Age>42</Age>
    <Dob>01/01/1976</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Matthew</Firstname>
    <Middlename>H</Middlename>
    <Lastname>Maxwell</Lastname>
    <Age>33</Age>
    <Dob>09/12/1984</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/03/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>23 Tomoka Cove Way</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Ormond Beach</City>
      <Postcode>32174</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>matthewhmaxwell@gmail.com</Email>
    <Phone>
      <Home>4044239223</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>MATTHEW HOWARD MAXWELL</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147400203849490</CreditcardNumber>
      <NameonCreditcard>Matthew H Maxwell</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>16.22</CreditcardAmount>
      <CreditcardCodeNumber>414</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a71b101a
a1e9f319
ARS-01-0039054
ARS-01-0039055
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0039054</PolicyNumber><UserName>a71b101a</UserName><Password>a71b101a</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0039055</PolicyNumber><UserName>a1e9f319</UserName><Password>a1e9f319</Password></PolicyDetails></RegistrationRes>