52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>06/06/2019</StartDate>
  <EndDate>06/17/2019</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>jean</Firstname>
    <Middlename>a</Middlename>
    <Lastname>marshall</Lastname>
    <Age>73</Age>
    <Dob>01/06/1946</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/06/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>281 southampton place</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>waterloo</City>
      <Postcode>n2t 2b3</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jeanniemarshall@rogers.com</Email>
    <Phone>
      <Home>5198830273</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>ann marie pellat</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4516076003781241</CreditcardNumber>
      <NameonCreditcard>jean  marshall</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>86.4</CreditcardAmount>
      <CreditcardCodeNumber>188</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f369ebae
701936325

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701936325</PolicyNumber><UserName>f369ebae</UserName><Password>f369ebae</Password></PolicyDetails></RegistrationRes>