52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>06/18/2017</StartDate>
  <EndDate>07/03/2017</EndDate>
  <DestinationPlan>South Africa</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>CHelsea</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Shelton</Lastname>
    <Age>18</Age>
    <Dob>10/24/1998</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/18/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>15565 FM 3204</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Texas</State>
      <City>Brownsboro</City>
      <Postcode>75756</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>chelsea2017.texas@gmail.com</Email>
    <Phone>
      <Home>9036811077</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379594961401002</CreditcardNumber>
      <NameonCreditcard>Jim L Shelton</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>23.6</CreditcardAmount>
      <CreditcardCodeNumber>6043</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9f7fab86
ARS-01-0033993
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0033993</PolicyNumber><UserName>9f7fab86</UserName><Password>9f7fab86</Password></PolicyDetails></RegistrationRes>