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>06/20/2018</StartDate>
  <EndDate>07/06/2018</EndDate>
  <DestinationPlan>Argentina</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Lance</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Jensen</Lastname>
    <Age>58</Age>
    <Dob>05/18/1960</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Ann</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Jensen</Lastname>
    <Age>52</Age>
    <Dob>08/22/1965</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Elizabeth</Firstname>
    <Middlename>I</Middlename>
    <Lastname>Jensen</Lastname>
    <Age>21</Age>
    <Dob>11/23/1996</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>William</Firstname>
    <Middlename>T</Middlename>
    <Lastname>Jensen</Lastname>
    <Age>18</Age>
    <Dob>04/25/2000</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/20/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>13681 Newport Ave.</Address1>
      <Address2>#8610</Address2>
      <Country>United States</Country>
      <State>California</State>
      <City>Tustin</City>
      <Postcode>92780</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ljensen_ocda@yahoo.com</Email>
    <Phone>
      <Home>7146144287</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>James Moore</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother-in-law</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400662010652829</CreditcardNumber>
      <NameonCreditcard>Lance P Jensen</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>134.98</CreditcardAmount>
      <CreditcardCodeNumber>662</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d07477db
7470f5f3
aac560a6
8af0eac3
ARS-01-0042014
ARS-01-0042015
ARS-01-0042016
ARS-01-0042017
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0042014</PolicyNumber><UserName>d07477db</UserName><Password>d07477db</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0042015</PolicyNumber><UserName>7470f5f3</UserName><Password>7470f5f3</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0042016</PolicyNumber><UserName>aac560a6</UserName><Password>aac560a6</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0042017</PolicyNumber><UserName>8af0eac3</UserName><Password>8af0eac3</Password></PolicyDetails></RegistrationRes>