52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>09/21/2018</StartDate>
  <EndDate>10/06/2018</EndDate>
  <DestinationPlan>Spain</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Albert</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Su</Lastname>
    <Age>34</Age>
    <Dob>04/04/1984</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/21/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1260 Republican St</Address1>
      <Address2>Suite 215</Address2>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Seattle</City>
      <Postcode>98109</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>albertsu04@gmail.com</Email>
    <Phone>
      <Home>4253627703</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Cathy Su</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400662712801385</CreditcardNumber>
      <NameonCreditcard>Albert Mu-Han Su</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>22.08</CreditcardAmount>
      <CreditcardCodeNumber>630</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
22d6f2fc
701813157

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701813157</PolicyNumber><UserName>22d6f2fc</UserName><Password>22d6f2fc</Password></PolicyDetails></RegistrationRes>