52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>2000000</MaximumLimit>
  <StartDate>07/14/2018</StartDate>
  <EndDate>07/24/2018</EndDate>
  <DestinationPlan>Hungary</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jacquelyn</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Squares</Lastname>
    <Age>43</Age>
    <Dob>12/20/1974</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/14/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>312 Forest Hills Ave</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Pennsylvania</State>
      <City>Philadelphia</City>
      <Postcode>19116</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>squares5@verizon.net</Email>
    <Phone>
      <Home>2159179496</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Charles Squares</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4121748945303345</CreditcardNumber>
      <NameonCreditcard>Jacquelyn P Squares</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>42.61</CreditcardAmount>
      <CreditcardCodeNumber>060</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
0e42af3d
201824979

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>201824979</PolicyNumber><UserName>0e42af3d</UserName><Password>0e42af3d</Password></PolicyDetails></RegistrationRes>