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>07/06/2017</StartDate>
  <EndDate>08/08/2017</EndDate>
  <DestinationPlan>Switzerland</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Diana</Firstname>
    <Middlename/>
    <Lastname>Horan</Lastname>
    <Age>17</Age>
    <Dob>07/21/1999</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/06/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>511 N East Ave</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Wisconsin</State>
      <City>Viroqua</City>
      <Postcode>54665</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dianasophia109@gmail.com</Email>
    <Phone>
      <Home>6086372586</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Diana Horan</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5424180606506522</CreditcardNumber>
      <NameonCreditcard>Diana  Horan</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>32.3</CreditcardAmount>
      <CreditcardCodeNumber>566</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
6a0729e0
ARS-01-0035335
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0035335</PolicyNumber><UserName>6a0729e0</UserName><Password>6a0729e0</Password></PolicyDetails></RegistrationRes>