52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>05/29/2019</StartDate>
  <EndDate>06/19/2019</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Damon</Firstname>
    <Middlename/>
    <Lastname>Brecheisen</Lastname>
    <Age>46</Age>
    <Dob>02/06/1973</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Michelle</Firstname>
    <Middlename/>
    <Lastname>Brecheisen</Lastname>
    <Age>45</Age>
    <Dob>05/23/1974</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Shayna</Firstname>
    <Middlename>B</Middlename>
    <Lastname>Brecheisen</Lastname>
    <Age>21</Age>
    <Dob>05/19/1998</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/29/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>638 Awosting Rd</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Pine Bush</City>
      <Postcode>12566</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>michellesharii@gmail.com</Email>
    <Phone>
      <Home>8458001535</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Michelle Brecheisen </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5213331089906177</CreditcardNumber>
      <NameonCreditcard>Damon Brecheisen</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>110.11</CreditcardAmount>
      <CreditcardCodeNumber>180</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b69e847b
5f1e1fe0
60a01eb0
701935687
701935688
701935689
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701935687</PolicyNumber><UserName>b69e847b</UserName><Password>b69e847b</Password></PolicyDetails><PolicyDetails><PolicyNumber>701935688</PolicyNumber><UserName>5f1e1fe0</UserName><Password>5f1e1fe0</Password></PolicyDetails><PolicyDetails><PolicyNumber>701935689</PolicyNumber><UserName>60a01eb0</UserName><Password>60a01eb0</Password></PolicyDetails></RegistrationRes>