52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>06/13/2017</StartDate>
  <EndDate>09/07/2017</EndDate>
  <DestinationPlan>Germany</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Matthew</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Brost</Lastname>
    <Age>21</Age>
    <Dob>10/16/1995</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/13/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1800 Cooper PT RD SW #18</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Olympia</City>
      <Postcode>98502</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>bookkeeper@brostlaw.com</Email>
    <Phone>
      <Home>3603570285</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Margaret Brost</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>376745084451000</CreditcardNumber>
      <NameonCreditcard>Margaret Brost</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>102.66</CreditcardAmount>
      <CreditcardCodeNumber>4926</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
40f04269
ARS-01-0034819
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0034819</PolicyNumber><UserName>40f04269</UserName><Password>40f04269</Password></PolicyDetails></RegistrationRes>