52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>07/23/2018</StartDate>
  <EndDate>07/28/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Kenneth</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Robinson</Lastname>
    <Age>76</Age>
    <Dob>11/27/1941</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/23/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>#515-133 Matheson Ave E</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Manitoba</State>
      <City>Winnipeg</City>
      <Postcode>R2W 5M7</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>pinawapa@hotmail.com</Email>
    <Phone>
      <Home>2046155940</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Patricia A Robinson</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5316363610099533</CreditcardNumber>
      <NameonCreditcard>Kenneth A Robinson</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>43.2</CreditcardAmount>
      <CreditcardCodeNumber>286</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
1e75fc5c
201822350

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>201822350</PolicyNumber><UserName>1e75fc5c</UserName><Password>1e75fc5c</Password></PolicyDetails></RegistrationRes>