52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>1000</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>05/22/2019</StartDate>
  <EndDate>06/05/2019</EndDate>
  <DestinationPlan>Japan</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Mark</Firstname>
    <Middlename/>
    <Lastname>Richards</Lastname>
    <Age>51</Age>
    <Dob>10/01/1967</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/22/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>16189 Southwest Snapdragon Lane</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Oregon</State>
      <City>Tigard</City>
      <Postcode>97223</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>1967mrr@gmail.com</Email>
    <Phone>
      <Home>5037932428</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Karen M Richards</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4100390447697414</CreditcardNumber>
      <NameonCreditcard>Mark Richards</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>48.98</CreditcardAmount>
      <CreditcardCodeNumber>633</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
0fa0b16a
701935086

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701935086</PolicyNumber><UserName>0fa0b16a</UserName><Password>0fa0b16a</Password></PolicyDetails></RegistrationRes>