52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>10/04/2018</StartDate>
  <EndDate>10/24/2018</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Benjamin </Firstname>
    <Middlename>H</Middlename>
    <Lastname>Braddock</Lastname>
    <Age>67</Age>
    <Dob>12/21/1950</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Virginia</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Braddock</Lastname>
    <Age>64</Age>
    <Dob>10/13/1953</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/04/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3525 Savannahs Trail</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Merritt Island </City>
      <Postcode>32953</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>bvevbrad@gmail.com</Email>
    <Phone>
      <Home>3213517196</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Virginia Braddock Gray</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>372529210362016</CreditcardNumber>
      <NameonCreditcard>Virginia E Braddock</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>200.97</CreditcardAmount>
      <CreditcardCodeNumber>7404</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
aada9bf7
134a5407
ARS-01-0040975
ARS-01-0040976
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0040975</PolicyNumber><UserName>aada9bf7</UserName><Password>aada9bf7</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0040976</PolicyNumber><UserName>134a5407</UserName><Password>134a5407</Password></PolicyDetails></RegistrationRes>