52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>2000000</MaximumLimit>
  <StartDate>03/19/2019</StartDate>
  <EndDate>03/25/2019</EndDate>
  <DestinationPlan>Iceland</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Neal</Firstname>
    <Middlename>K</Middlename>
    <Lastname>Groothuis</Lastname>
    <Age>39</Age>
    <Dob>08/01/1979</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/19/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>518 Van Buren St.</Address1>
      <Address2>Floor 2</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>Brooklyn</City>
      <Postcode>11221</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>squaremouth@nealgroothuis.name</Email>
    <Phone>
      <Home>3124152623</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Emily DeWan</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Fiance</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5528519359180339</CreditcardNumber>
      <NameonCreditcard>Neal K Groothuis</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>15.26</CreditcardAmount>
      <CreditcardCodeNumber>118</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5a76266e
701931667

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701931667</PolicyNumber><UserName>5a76266e</UserName><Password>5a76266e</Password></PolicyDetails></RegistrationRes>