52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>03/09/2021</StartDate>
  <EndDate>03/17/2021</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>John</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Landforce</Lastname>
    <Age>66</Age>
    <Dob>12/07/1954</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/09/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>808 NW Merrie Dr</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Oregon</State>
      <City>Corvallis</City>
      <Postcode>97330</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jlandforce@comcast.net</Email>
    <Phone>
      <Home>5038073111</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Lynda Fischer</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147342092736406</CreditcardNumber>
      <NameonCreditcard>John Andrew Landforce</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2025</CreditcardExpirationYear>
      <CreditcardAmount>38.25</CreditcardAmount>
      <CreditcardCodeNumber>255</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b01de7ca
691802052940

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>691802052940</PolicyNumber><UserName>b01de7ca</UserName><Password>b01de7ca</Password></PolicyDetails></RegistrationRes>