52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/16/2017</StartDate>
  <EndDate>10/24/2017</EndDate>
  <DestinationPlan>Switzerland</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Brian</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Northam</Lastname>
    <Age>59</Age>
    <Dob>07/21/1958</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Donna</Firstname>
    <Middlename>V</Middlename>
    <Lastname>Harris</Lastname>
    <Age>64</Age>
    <Dob>09/17/1952</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/16/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>4909 Gulf Drive</Address1>
      <Address2>Apt. 2B</Address2>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Holmes Beach</City>
      <Postcode>34217</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>brian.northam54@gmail.com</Email>
    <Phone>
      <Home>9412241053</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Sabra Northam</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147097740326394</CreditcardNumber>
      <NameonCreditcard>Brian D Northam</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>409.5</CreditcardAmount>
      <CreditcardCodeNumber>447</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
6558a170
ca5728e8
ARS-01-0035976
ARS-01-0035977
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0035976</PolicyNumber><UserName>6558a170</UserName><Password>6558a170</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0035977</PolicyNumber><UserName>ca5728e8</UserName><Password>ca5728e8</Password></PolicyDetails></RegistrationRes>