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>07/29/2017</StartDate>
  <EndDate>08/06/2017</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>JOHN</Firstname>
    <Middlename>G</Middlename>
    <Lastname>TAUTKUS</Lastname>
    <Age>56</Age>
    <Dob>07/30/1960</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>ROSIE</Firstname>
    <Middlename>M</Middlename>
    <Lastname>TAUTKUS</Lastname>
    <Age>46</Age>
    <Dob>07/31/1970</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/29/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2N470 HIGHLAND AVENUE</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Illinois</State>
      <City>GLEN ELLYN</City>
      <Postcode>60137</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>RTAUTKUS@AOL.COM</Email>
    <Phone>
      <Home>6304888964</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>ESTRELLA MCGHEE</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4313073000558057</CreditcardNumber>
      <NameonCreditcard>JOHN G TAUTKUS</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>45.36</CreditcardAmount>
      <CreditcardCodeNumber>345</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
728ac103
431dcfe0
ARS-01-0034252
ARS-01-0034253
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0034252</PolicyNumber><UserName>728ac103</UserName><Password>728ac103</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0034253</PolicyNumber><UserName>431dcfe0</UserName><Password>431dcfe0</Password></PolicyDetails></RegistrationRes>