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>08/23/2021</StartDate>
  <EndDate>08/26/2021</EndDate>
  <DestinationPlan>Turks &amp;amp; Caicos Islands</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Angralon</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Dixon</Lastname>
    <Age>43</Age>
    <Dob>08/29/1977</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/23/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>121-32 193rd street</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Springfield Gardens</City>
      <Postcode>11413</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>angralon@msn.com</Email>
    <Phone>
      <Home>9173282540</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Emmeline Dixon</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Discover</CreditcardType>
      <CreditcardNumber>6011010490074682</CreditcardNumber>
      <NameonCreditcard>Angralon D Dixon</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>7.8</CreditcardAmount>
      <CreditcardCodeNumber>498</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
12e4588c
691802104866

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>691802104866</PolicyNumber><UserName>12e4588c</UserName><Password>12e4588c</Password></PolicyDetails></RegistrationRes>