52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>08/16/2018</StartDate>
  <EndDate>08/22/2018</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Keegan</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Quiroz</Lastname>
    <Age>25</Age>
    <Dob>12/16/1992</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/16/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1160 Darlene Drive</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Santa Cruz</City>
      <Postcode>95062</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kqmtb2006@gmail.com</Email>
    <Phone>
      <Home>8315393157</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Manuel Quiroz, Jr. </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4024425000510084</CreditcardNumber>
      <NameonCreditcard>Manuel Quiroz</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>27.08</CreditcardAmount>
      <CreditcardCodeNumber>346</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
bfae6118
201823838

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>201823838</PolicyNumber><UserName>bfae6118</UserName><Password>bfae6118</Password></PolicyDetails></RegistrationRes>