52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/23/2019</StartDate>
  <EndDate>09/01/2019</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>John</Firstname>
    <Middlename>H</Middlename>
    <Lastname>Scott</Lastname>
    <Age>41</Age>
    <Dob>01/21/1978</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/23/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1200 S Rolling Ridge Way</Address1>
      <Address2>Apt 503</Address2>
      <Country>United States</Country>
      <State>Indiana</State>
      <City>Bloomington</City>
      <Postcode>47403</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>john.hg.scott@gmail.com</Email>
    <Phone>
      <Home>8123207838</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Janet A Scott</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400668185121276</CreditcardNumber>
      <NameonCreditcard>Janet A Scott</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>26.95</CreditcardAmount>
      <CreditcardCodeNumber>101</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4e7fd99c
701939886

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701939886</PolicyNumber><UserName>4e7fd99c</UserName><Password>4e7fd99c</Password></PolicyDetails></RegistrationRes>