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>05/30/2018</StartDate>
  <EndDate>06/04/2018</EndDate>
  <DestinationPlan>Italy</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>William</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Stockey</Lastname>
    <Age>67</Age>
    <Dob>03/11/1951</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/30/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>6490 NC Highway 43</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>North Carolina</State>
      <City>Fountain</City>
      <Postcode>27829</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mejin@aol.com</Email>
    <Phone>
      <Home>2527570021</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371300238341007</CreditcardNumber>
      <NameonCreditcard>William L Stockey</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>38.38</CreditcardAmount>
      <CreditcardCodeNumber>7946</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
10215ab0
ARS-01-0039681
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0039681</PolicyNumber><UserName>10215ab0</UserName><Password>10215ab0</Password></PolicyDetails></RegistrationRes>