52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>02/28/2021</StartDate>
  <EndDate>03/08/2021</EndDate>
  <DestinationPlan>Spain</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Dors</Firstname>
    <Middlename/>
    <Lastname>Garcia-Smith</Lastname>
    <Age>49</Age>
    <Dob>09/14/1971</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/28/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>405 Birch Lane</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Cutchogue</City>
      <Postcode>11935</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jbs@o4g.com</Email>
    <Phone>
      <Home>9172882440</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jonathan B Smith</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>372729647721004</CreditcardNumber>
      <NameonCreditcard>Jonathan B Smith</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2026</CreditcardExpirationYear>
      <CreditcardAmount>17.64</CreditcardAmount>
      <CreditcardCodeNumber>2571</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
24a0b6ac
802052797

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802052797</PolicyNumber><UserName>24a0b6ac</UserName><Password>24a0b6ac</Password></PolicyDetails></RegistrationRes>