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>02/25/2017</StartDate>
  <EndDate>03/05/2017</EndDate>
  <DestinationPlan>Micronesia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jacob</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Steiner</Lastname>
    <Age>32</Age>
    <Dob>04/25/1984</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/25/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Pohnpei Bag, Locked Bag 40</Address1>
      <Address2/>
      <Country>Australia</Country>
      <State/>
      <City>Kingston</City>
      <Postcode>2604</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jsteiner@pgrd.org</Email>
    <Phone>
      <Home>15162708071</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Eliza Woolcock</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202261474777</CreditcardNumber>
      <NameonCreditcard>Jacob R Steiner</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>8.1</CreditcardAmount>
      <CreditcardCodeNumber>065</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
0bb17e19
ARS-01-0032350
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0032350</PolicyNumber><UserName>0bb17e19</UserName><Password>0bb17e19</Password></PolicyDetails></RegistrationRes>