52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>02/28/2018</StartDate>
  <EndDate>03/13/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Derek</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Fenton</Lastname>
    <Age>39</Age>
    <Dob>01/29/1979</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/28/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>120-151 Edwards Dr. SW</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Alberta</State>
      <City>Edmonton</City>
      <Postcode>T6X 1N5</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jamesonfenton@gmail.com</Email>
    <Phone>
      <Home>7805661242</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>dominic Despres</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Friend</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4504400006713890</CreditcardNumber>
      <NameonCreditcard>Derek Fenton</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>22.96</CreditcardAmount>
      <CreditcardCodeNumber>939</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
baaa07ad
ARS-02-0039577
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0039577</PolicyNumber><UserName>baaa07ad</UserName><Password>baaa07ad</Password></PolicyDetails></RegistrationRes>