52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>03/03/2020</StartDate>
  <EndDate>03/06/2020</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>George</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Jackman</Lastname>
    <Age>73</Age>
    <Dob>07/31/1946</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/03/2020</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>POBox 31640</Address1>
      <Address2>SMB </Address2>
      <Country>Cayman Islands</Country>
      <State/>
      <City>Grand Cayman</City>
      <Postcode>ky11207</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jaxman@candw.ky</Email>
    <Phone>
      <Home>13459271576</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Adaline Jackman</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5425687123050007</CreditcardNumber>
      <NameonCreditcard>George A Jackman</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>36.0</CreditcardAmount>
      <CreditcardCodeNumber>003</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8efb2ec4
802046983

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802046983</PolicyNumber><UserName>8efb2ec4</UserName><Password>8efb2ec4</Password></PolicyDetails></RegistrationRes>