52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/26/2017</StartDate>
  <EndDate>07/07/2017</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Dean</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Whiteside</Lastname>
    <Age>43</Age>
    <Dob>09/10/1973</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/26/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>6330 Redsetter Lane</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Virginia</State>
      <City>Moseley</City>
      <Postcode>23120</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dean_whitex@msn.com</Email>
    <Phone>
      <Home>8047041859</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Rachel Whiteside</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4426441082186630</CreditcardNumber>
      <NameonCreditcard>Dean S Whiteside</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>18.0</CreditcardAmount>
      <CreditcardCodeNumber>935</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d3addd4b
ARS-01-0035143
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0035143</PolicyNumber><UserName>d3addd4b</UserName><Password>d3addd4b</Password></PolicyDetails></RegistrationRes>