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>05/22/2017</StartDate>
  <EndDate>06/29/2017</EndDate>
  <DestinationPlan>Kenya</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ricka</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Kohnstamm</Lastname>
    <Age>60</Age>
    <Dob>08/01/1956</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Sage</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Kohnstamm</Lastname>
    <Age>22</Age>
    <Dob>12/13/1994</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/22/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1090 Goodrich Ave</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Minnesota</State>
      <City>SAINT PAUL</City>
      <Postcode>55105</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>rickark@hotmail.com</Email>
    <Phone>
      <Home>6514707147</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Joshua G. Kohnstamm</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4919270000606732</CreditcardNumber>
      <NameonCreditcard>Ricka R Kohnstamm</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>224.25</CreditcardAmount>
      <CreditcardCodeNumber>751</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
da70c969
6a7304c4
ARS-01-0034363
ARS-01-0034364
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0034363</PolicyNumber><UserName>da70c969</UserName><Password>da70c969</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0034364</PolicyNumber><UserName>6a7304c4</UserName><Password>6a7304c4</Password></PolicyDetails></RegistrationRes>