52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>10/04/2019</StartDate>
  <EndDate>10/06/2019</EndDate>
  <DestinationPlan>Cayman Islands</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Matthew</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Cornett</Lastname>
    <Age>37</Age>
    <Dob>07/31/1982</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/04/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>PO Box 783</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Virginia</State>
      <City>Galax</City>
      <Postcode>24333</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>matthewcornett@yahoo.com</Email>
    <Phone>
      <Home>2762332477</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jewell Cornett</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202373475886</CreditcardNumber>
      <NameonCreditcard>Matthew Cornett</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>6.75</CreditcardAmount>
      <CreditcardCodeNumber>057</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
3a9d7d0f
701941145

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701941145</PolicyNumber><UserName>3a9d7d0f</UserName><Password>3a9d7d0f</Password></PolicyDetails></RegistrationRes>