52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>10/04/2017</StartDate>
  <EndDate>10/10/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Catherine</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Demmer</Lastname>
    <Age>25</Age>
    <Dob>07/12/1992</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Jacob</Firstname>
    <Middlename>G</Middlename>
    <Lastname>Kovnat</Lastname>
    <Age>32</Age>
    <Dob>04/28/1985</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/04/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>25 Stafford St.</Address1>
      <Address2>#308</Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Toronto</City>
      <Postcode>M5V 0G3</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jakekovnat@gmail.com</Email>
    <Phone>
      <Home>6478294463</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship>Other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4170955064482038</CreditcardNumber>
      <NameonCreditcard>Jacob Kovnat</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>27.88</CreditcardAmount>
      <CreditcardCodeNumber>727</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b7205f1e
64711d3d
ARS-02-0037121
ARS-02-0037122
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0037121</PolicyNumber><UserName>b7205f1e</UserName><Password>b7205f1e</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0037122</PolicyNumber><UserName>64711d3d</UserName><Password>64711d3d</Password></PolicyDetails></RegistrationRes>