52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>04/07/2017</StartDate>
  <EndDate>06/15/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Lucas</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Fisher</Lastname>
    <Age>19</Age>
    <Dob>08/19/1997</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/07/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2 grande rue</Address1>
      <Address2/>
      <Country>France</Country>
      <State/>
      <City>Villemoiron-en-Othe</City>
      <Postcode>10160</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kennyfisher100@gmail.com</Email>
    <Phone>
      <Home>0787710123</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kenneth Fisher</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5424326905779555</CreditcardNumber>
      <NameonCreditcard>Kenneth R. Fisher</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>208.25</CreditcardAmount>
      <CreditcardCodeNumber>997</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
aeaf8695
ARS-02-0033051
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0033051</PolicyNumber><UserName>aeaf8695</UserName><Password>aeaf8695</Password></PolicyDetails></RegistrationRes>