52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>06/12/2019</StartDate>
  <EndDate>06/19/2019</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>DeAngela</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Thiemann</Lastname>
    <Age>46</Age>
    <Dob>09/29/1972</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Michael </Firstname>
    <Middlename>J</Middlename>
    <Lastname>Bright </Lastname>
    <Age>58</Age>
    <Dob>05/03/1961</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/12/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>615 n. Kansas</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Kansas</State>
      <City>Burrton</City>
      <Postcode>67020</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>brightmichael@live.com</Email>
    <Phone>
      <Home>3039131585</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Michael Benjamin Bright </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4791249745117083</CreditcardNumber>
      <NameonCreditcard>Michael  J Bright</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>38.56</CreditcardAmount>
      <CreditcardCodeNumber>011</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
85be0758
4d315cad
701936783
701936784
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701936783</PolicyNumber><UserName>85be0758</UserName><Password>85be0758</Password></PolicyDetails><PolicyDetails><PolicyNumber>701936784</PolicyNumber><UserName>4d315cad</UserName><Password>4d315cad</Password></PolicyDetails></RegistrationRes>