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>02/24/2019</StartDate>
  <EndDate>03/02/2019</EndDate>
  <DestinationPlan>Colombia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Nathan</Firstname>
    <Middlename>W</Middlename>
    <Lastname>Laird</Lastname>
    <Age>32</Age>
    <Dob>09/05/1986</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/24/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>250 Piedmont Ave Ne</Address1>
      <Address2>Unit 1717</Address2>
      <Country>United States</Country>
      <State>Georgia</State>
      <City>Atlanta</City>
      <Postcode>30308</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lairdnw@gmail.com</Email>
    <Phone>
      <Home>7707220825</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>David Laird</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4266841277615223</CreditcardNumber>
      <NameonCreditcard>Nathan Laird</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>6.3</CreditcardAmount>
      <CreditcardCodeNumber>811</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b3a6ec07
701930026

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701930026</PolicyNumber><UserName>b3a6ec07</UserName><Password>b3a6ec07</Password></PolicyDetails></RegistrationRes>