52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/23/2018</StartDate>
  <EndDate>06/06/2018</EndDate>
  <DestinationPlan>Lithuania</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Laina</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Mickus</Lastname>
    <Age>51</Age>
    <Dob>05/17/1967</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Jessalyn</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Mickus</Lastname>
    <Age>16</Age>
    <Dob>05/23/2002</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Spencer</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Mickus</Lastname>
    <Age>20</Age>
    <Dob>03/28/1998</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/23/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>9205 ASPEN CREEK PT</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Colorado</State>
      <City>Highlands Ranch</City>
      <Postcode>80129</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>laina@mickus.com</Email>
    <Phone>
      <Home>7202069391</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>ROBERT J MICKUS</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4388576099479738</CreditcardNumber>
      <NameonCreditcard>Laina L Mickus</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>54.81</CreditcardAmount>
      <CreditcardCodeNumber>195</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
3453dc20
3e07233b
cb7fdbd5
ARS-01-0041258
ARS-01-0041259
ARS-01-0041260
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0041258</PolicyNumber><UserName>3453dc20</UserName><Password>3453dc20</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0041259</PolicyNumber><UserName>3e07233b</UserName><Password>3e07233b</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0041260</PolicyNumber><UserName>cb7fdbd5</UserName><Password>cb7fdbd5</Password></PolicyDetails></RegistrationRes>