52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/17/2018</StartDate>
  <EndDate>06/23/2018</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Brian</Firstname>
    <Middlename>C</Middlename>
    <Lastname>Atchley</Lastname>
    <Age>34</Age>
    <Dob>11/30/1983</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Rebecca</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Goldblatt</Lastname>
    <Age>34</Age>
    <Dob>09/08/1983</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/17/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>760 E Ocean Ave</Address1>
      <Address2>Apt. 106</Address2>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Boynton Beach</City>
      <Postcode>33435</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>batchley@gmail.com</Email>
    <Phone>
      <Home>8507662747</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Rebecca Goldblatt</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400666451055491</CreditcardNumber>
      <NameonCreditcard>Brian Charles Atchley</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>22.96</CreditcardAmount>
      <CreditcardCodeNumber>647</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
085aaf8c
3aa2c927
ARS-02-0041957
ARS-02-0041958
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0041957</PolicyNumber><UserName>085aaf8c</UserName><Password>085aaf8c</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0041958</PolicyNumber><UserName>3aa2c927</UserName><Password>3aa2c927</Password></PolicyDetails></RegistrationRes>