52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>05/12/2019</StartDate>
  <EndDate>05/29/2019</EndDate>
  <DestinationPlan>Croatia (Hrvatska)</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>PATRICIA</Firstname>
    <Middlename>A</Middlename>
    <Lastname>SWEENY-RYWAK</Lastname>
    <Age>67</Age>
    <Dob>07/18/1951</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/12/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>4020 N Damen Ave</Address1>
      <Address2>303</Address2>
      <Country>United States</Country>
      <State>Illinois</State>
      <City>Chicago</City>
      <Postcode>60618</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>sweenymom42@gmail.com</Email>
    <Phone>
      <Home>7733495284</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Andrew J Rywak</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4388576104190171</CreditcardNumber>
      <NameonCreditcard>PATRICIA A RYWAK</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>76.5</CreditcardAmount>
      <CreditcardCodeNumber>283</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5091c957
701934241

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701934241</PolicyNumber><UserName>5091c957</UserName><Password>5091c957</Password></PolicyDetails></RegistrationRes>