52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/21/2018</StartDate>
  <EndDate>04/26/2018</EndDate>
  <DestinationPlan>Barbados</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Darren</Firstname>
    <Middlename/>
    <Lastname>Mosley</Lastname>
    <Age>44</Age>
    <Dob>10/11/1973</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Carins</Firstname>
    <Middlename/>
    <Lastname>Mosley</Lastname>
    <Age>44</Age>
    <Dob>04/22/1973</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/21/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1942 GRIFFINS GREEN DR</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>BARTOW</City>
      <Postcode>33830</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>cocoaman73@gmail.com</Email>
    <Phone>
      <Home>8639698830</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Darrius Mosley</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4868951331993953</CreditcardNumber>
      <NameonCreditcard>Darren  Mosley</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>18.0</CreditcardAmount>
      <CreditcardCodeNumber>524</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f0e94133
018586c9
ARS-01-0040516
ARS-01-0040517
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0040516</PolicyNumber><UserName>f0e94133</UserName><Password>f0e94133</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0040517</PolicyNumber><UserName>018586c9</UserName><Password>018586c9</Password></PolicyDetails></RegistrationRes>