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>02/18/2018</StartDate>
  <EndDate>02/27/2018</EndDate>
  <DestinationPlan>Costa Rica</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jeffrey </Firstname>
    <Middlename/>
    <Lastname>Goldsmith</Lastname>
    <Age>57</Age>
    <Dob>03/28/1960</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Catherine</Firstname>
    <Middlename/>
    <Lastname>Goldsmith</Lastname>
    <Age>45</Age>
    <Dob>11/11/1972</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/18/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>9704 NE 145th Ct. </Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Bothell</City>
      <Postcode>98011</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>msp482@gmail.com</Email>
    <Phone>
      <Home>6126166769</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kathryn Goldsmith</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4100390471169165</CreditcardNumber>
      <NameonCreditcard>Jeffrey   Goldsmith</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>41.0</CreditcardAmount>
      <CreditcardCodeNumber>373</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b6b83ba8
73f4fbb5
ARS-01-0039381
ARS-01-0039382
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0039381</PolicyNumber><UserName>b6b83ba8</UserName><Password>b6b83ba8</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0039382</PolicyNumber><UserName>73f4fbb5</UserName><Password>73f4fbb5</Password></PolicyDetails></RegistrationRes>