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>08/09/2020</StartDate>
  <EndDate>08/17/2020</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Mark</Firstname>
    <Middlename>T</Middlename>
    <Lastname>Kronebusch</Lastname>
    <Age>60</Age>
    <Dob>09/08/1959</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Brenda</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Kronebusch</Lastname>
    <Age>57</Age>
    <Dob>05/20/1963</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/09/2020</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>23065 County Road 15</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Minnesota</State>
      <City>Winona</City>
      <Postcode>55987</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>markkronebusch@hotmail.com</Email>
    <Phone>
      <Home>5074525412</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>McBrennan T Kronebusch</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379000400762004</CreditcardNumber>
      <NameonCreditcard>MARK T KRONEBUSCH</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>59.58</CreditcardAmount>
      <CreditcardCodeNumber>4863</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ccefd7fd
d1d76a68
802049082
802049083
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802049082</PolicyNumber><UserName>ccefd7fd</UserName><Password>ccefd7fd</Password></PolicyDetails><PolicyDetails><PolicyNumber>802049083</PolicyNumber><UserName>d1d76a68</UserName><Password>d1d76a68</Password></PolicyDetails></RegistrationRes>