52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/25/2018</StartDate>
  <EndDate>05/28/2018</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>ANGELIQUE</Firstname>
    <Middlename/>
    <Lastname>NEUFELD</Lastname>
    <Age>5</Age>
    <Dob>07/09/2012</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/25/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1643 S JACKSON PL</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Washington</State>
      <City>SEATTLE</City>
      <Postcode>98144</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>garthwneufeld@gmail.com</Email>
    <Phone>
      <Home>5593928473</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>GARTH NEUFELD</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4100400026191273</CreditcardNumber>
      <NameonCreditcard>GARTH NEUFELD</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>6.15</CreditcardAmount>
      <CreditcardCodeNumber>517</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c2c2ac60
ARS-02-0041365
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0041365</PolicyNumber><UserName>c2c2ac60</UserName><Password>c2c2ac60</Password></PolicyDetails></RegistrationRes>