52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>08/13/2018</StartDate>
  <EndDate>08/26/2018</EndDate>
  <DestinationPlan>Thailand</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Paul</Firstname>
    <Middlename/>
    <Lastname>Geise</Lastname>
    <Age>48</Age>
    <Dob>09/03/1969</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/13/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3905 S. Expressway 83</Address1>
      <Address2>#106</Address2>
      <Country>United States</Country>
      <State>Texas</State>
      <City>Harlingen </City>
      <Postcode>78550</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>paul.geise@mavs.uta.edu</Email>
    <Phone>
      <Home>9362422852</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5178059018598038</CreditcardNumber>
      <NameonCreditcard>Paul W Geise</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>19.6</CreditcardAmount>
      <CreditcardCodeNumber>349</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
19bf2355
201836504

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>201836504</PolicyNumber><UserName>19bf2355</UserName><Password>19bf2355</Password></PolicyDetails></RegistrationRes>