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>06/09/2017</StartDate>
  <EndDate>06/20/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jean</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Marshall</Lastname>
    <Age>71</Age>
    <Dob>06/01/1946</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/09/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>192 Roxton Drive </Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Waterloo</City>
      <Postcode>N2T 1N8</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jeanniemashall@rogers.com</Email>
    <Phone>
      <Home>5198830273</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Donald Marshall</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4516076000865807</CreditcardNumber>
      <NameonCreditcard>Jean A Marshall</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>86.4</CreditcardAmount>
      <CreditcardCodeNumber>366</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
bbd96417
ARS-02-0034761
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0034761</PolicyNumber><UserName>bbd96417</UserName><Password>bbd96417</Password></PolicyDetails></RegistrationRes>