52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>04/03/2017</StartDate>
  <EndDate>04/24/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Vera </Firstname>
    <Middlename/>
    <Lastname>Sadchikova</Lastname>
    <Age>69</Age>
    <Dob>06/22/1947</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/03/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Lomonosova Street</Address1>
      <Address2>Building 11, Apt. 1</Address2>
      <Country>Russian Federation</Country>
      <State/>
      <City>Zhukovsky</City>
      <Postcode>140180</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>grebarnes@gmail.com</Email>
    <Phone>
      <Home>9178224646</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5452120001141355</CreditcardNumber>
      <NameonCreditcard>Gregory Barnes </NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>168.3</CreditcardAmount>
      <CreditcardCodeNumber>118</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
817409ef
ARS-02-0033074
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0033074</PolicyNumber><UserName>817409ef</UserName><Password>817409ef</Password></PolicyDetails></RegistrationRes>