52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>12000</MaximumLimit>
  <StartDate>02/22/2018</StartDate>
  <EndDate>02/26/2018</EndDate>
  <DestinationPlan>Suriname</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Louise	</Firstname>
    <Middlename/>
    <Lastname>Goedhart</Lastname>
    <Age>81</Age>
    <Dob>04/03/1936</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/22/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>15870 SW 104 Terrace </Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Miami,</City>
      <Postcode>33196</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>spi7777@aol.com</Email>
    <Phone>
      <Home>3053381934</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160320204454</CreditcardNumber>
      <NameonCreditcard>Louise	  Goedhart</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>53.75</CreditcardAmount>
      <CreditcardCodeNumber>956</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8f6311f1
ARS-01-0039464
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0039464</PolicyNumber><UserName>8f6311f1</UserName><Password>8f6311f1</Password></PolicyDetails></RegistrationRes>