52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>1000</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>03/16/2021</StartDate>
  <EndDate>05/02/2021</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Schuyler</Firstname>
    <Middlename/>
    <Lastname>Palmer</Lastname>
    <Age>33</Age>
    <Dob>07/18/1987</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/16/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>425 W STUART RD</Address1>
      <Address2>APT 312</Address2>
      <Country>United States</Country>
      <State>Washington</State>
      <City>BELLINGHAM</City>
      <Postcode>98226</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ca42005@gmail.com</Email>
    <Phone>
      <Home>8587618427</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kristen Mantyla</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147097496166358</CreditcardNumber>
      <NameonCreditcard>Schuyler  C Palmer</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>79.87</CreditcardAmount>
      <CreditcardCodeNumber>898</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b8631bff
691802053205

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>691802053205</PolicyNumber><UserName>b8631bff</UserName><Password>b8631bff</Password></PolicyDetails></RegistrationRes>