52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>07/31/2017</StartDate>
  <EndDate>08/05/2017</EndDate>
  <DestinationPlan>Portugal</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>VICTOR</Firstname>
    <Middlename>A</Middlename>
    <Lastname>LOPEZ</Lastname>
    <Age>52</Age>
    <Dob>05/03/1965</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>MIGUEL</Firstname>
    <Middlename/>
    <Lastname>HERNANDEZ</Lastname>
    <Age>31</Age>
    <Dob>06/08/1986</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/31/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>11704 SW 129 CT </Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>MIAMI</City>
      <Postcode>33186</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>miamiair.svc@gmail.com</Email>
    <Phone>
      <Home>3057734654</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Georgette Barker Lopez</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379784406691008</CreditcardNumber>
      <NameonCreditcard>VICTOR A LOPEZ</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>30.75</CreditcardAmount>
      <CreditcardCodeNumber>6640</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4e1bb6af
bc59bdad
ARS-01-0035964
ARS-01-0035965
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0035964</PolicyNumber><UserName>4e1bb6af</UserName><Password>4e1bb6af</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0035965</PolicyNumber><UserName>bc59bdad</UserName><Password>bc59bdad</Password></PolicyDetails></RegistrationRes>