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>07/30/2019</StartDate>
  <EndDate>08/18/2019</EndDate>
  <DestinationPlan>Brazil</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Patrick</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Ransbottom</Lastname>
    <Age>24</Age>
    <Dob>10/28/1994</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/30/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5220 Blum Dr</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Indiana</State>
      <City>Fort Wayne</City>
      <Postcode>46835</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>pransbottom@gmail.com</Email>
    <Phone>
      <Home>2604436591</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160437214305</CreditcardNumber>
      <NameonCreditcard>Patrick J Ransbottom</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>19.0</CreditcardAmount>
      <CreditcardCodeNumber>660</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e7904ac6
701939052

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701939052</PolicyNumber><UserName>e7904ac6</UserName><Password>e7904ac6</Password></PolicyDetails></RegistrationRes>