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>07/03/2017</StartDate>
  <EndDate>07/27/2017</EndDate>
  <DestinationPlan>Austria</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Emmitt</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Broch</Lastname>
    <Age>16</Age>
    <Dob>03/01/2001</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/03/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>313 Ardmore Road</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Maryland</State>
      <City>Linthicum </City>
      <Postcode>21090</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>iebroch65@me.com</Email>
    <Phone>
      <Home>4109164967</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kevin Broch Sr.</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5576217503807300</CreditcardNumber>
      <NameonCreditcard>Irene E Broch</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>19.5</CreditcardAmount>
      <CreditcardCodeNumber>070</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
61f6afbf
ARS-01-0035321
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0035321</PolicyNumber><UserName>61f6afbf</UserName><Password>61f6afbf</Password></PolicyDetails></RegistrationRes>