52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>07/22/2019</StartDate>
  <EndDate>07/29/2019</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Benjamin</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Keebler</Lastname>
    <Age>6</Age>
    <Dob>07/28/2012</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/22/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>162 W. Plant St.</Address1>
      <Address2/>
      <Country>China</Country>
      <State/>
      <City>Winter Garden</City>
      <Postcode>34787</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>glennb@birket.com</Email>
    <Phone>
      <Home>4079252708</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Glenn A. Birket</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Guardian</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371294730396009</CreditcardNumber>
      <NameonCreditcard>Glenn A Birket</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>12.4</CreditcardAmount>
      <CreditcardCodeNumber>5094</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c74e3e3b
701938725

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701938725</PolicyNumber><UserName>c74e3e3b</UserName><Password>c74e3e3b</Password></PolicyDetails></RegistrationRes>