52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>02/19/2020</StartDate>
  <EndDate>01/15/2021</EndDate>
  <DestinationPlan>Nicaragua</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Amanda</Firstname>
    <Middlename/>
    <Lastname>Gutierrez</Lastname>
    <Age>28</Age>
    <Dob>10/15/1991</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/19/2020</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>4545 Chestnut Ridge rd</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Buffalo</City>
      <Postcode>14228</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>gutierrez.amandaligia@gmail.com</Email>
    <Phone>
      <Home>7164720677</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Sarah Ravines</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379753357146007</CreditcardNumber>
      <NameonCreditcard>Amanda</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>315.4</CreditcardAmount>
      <CreditcardCodeNumber>4700</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
39fb002f
802046093

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802046093</PolicyNumber><UserName>39fb002f</UserName><Password>39fb002f</Password></PolicyDetails></RegistrationRes>