52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>02/09/2018</StartDate>
  <EndDate>02/18/2018</EndDate>
  <DestinationPlan>Australia</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Laurie</Firstname>
    <Middlename/>
    <Lastname>Seidel Halmo</Lastname>
    <Age>28</Age>
    <Dob>03/15/1989</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Maria</Firstname>
    <Middlename/>
    <Lastname>Seidel Halmo</Lastname>
    <Age>34</Age>
    <Dob>08/18/1983</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/09/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>250 S. Jackson</Address1>
      <Address2>Apt 419</Address2>
      <Country>United States</Country>
      <State>Colorado</State>
      <City>Denver</City>
      <Postcode>80209</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jack8seidel@gmail.com</Email>
    <Phone>
      <Home>2147976061</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4179030002619769</CreditcardNumber>
      <NameonCreditcard>Jack Seidel</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>25.6</CreditcardAmount>
      <CreditcardCodeNumber>476</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
21a01bbe
315faa6e
ARS-01-0039093
ARS-01-0039094
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0039093</PolicyNumber><UserName>21a01bbe</UserName><Password>21a01bbe</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0039094</PolicyNumber><UserName>315faa6e</UserName><Password>315faa6e</Password></PolicyDetails></RegistrationRes>