52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>09/13/2018</StartDate>
  <EndDate>09/16/2018</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Kathleen</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Couvillion Robinson</Lastname>
    <Age>67</Age>
    <Dob>08/01/1951</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/13/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>PO Box 487</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Maine</State>
      <City>Raymond</City>
      <Postcode>04071</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kathleen.couvillion@gmail.com</Email>
    <Phone>
      <Home>2078948455</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Spencer J. Smith</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400668987271634</CreditcardNumber>
      <NameonCreditcard>K Couvillion Robinson</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>46.0</CreditcardAmount>
      <CreditcardCodeNumber>921</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
bd828ffe
701852521

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701852521</PolicyNumber><UserName>bd828ffe</UserName><Password>bd828ffe</Password></PolicyDetails></RegistrationRes>