52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>06/02/2017</StartDate>
  <EndDate>06/04/2017</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Iris</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Boehm</Lastname>
    <Age>38</Age>
    <Dob>09/06/1978</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/02/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1604 Madison Drive</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Alaska</State>
      <City>Fairbanks</City>
      <Postcode>99709</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>irisrose1ak@yahoo.com</Email>
    <Phone>
      <Home>9073473411</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jessica Boehm</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4003449747813234</CreditcardNumber>
      <NameonCreditcard>Iris R Boehm</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>20.96</CreditcardAmount>
      <CreditcardCodeNumber>853</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
36d0880e
ARS-02-0034581
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0034581</PolicyNumber><UserName>36d0880e</UserName><Password>36d0880e</Password></PolicyDetails></RegistrationRes>