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>10/10/2018</StartDate>
  <EndDate>10/14/2018</EndDate>
  <DestinationPlan>Jamaica</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Adam</Firstname>
    <Middlename>Z</Middlename>
    <Lastname>Pichon</Lastname>
    <Age>44</Age>
    <Dob>03/29/1974</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Kimberly</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Pichon</Lastname>
    <Age>43</Age>
    <Dob>10/06/1975</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/10/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>775 Nettlebrook Ln</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Georgia</State>
      <City>Milton</City>
      <Postcode>30004</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>azpichon@yahoo.com</Email>
    <Phone>
      <Home>4044352341</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Marisa Pichon</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202303077208</CreditcardNumber>
      <NameonCreditcard>Adam Z Pichon</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>15.0</CreditcardAmount>
      <CreditcardCodeNumber>675</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f098bf6a
dac2539f
701823875
701823876
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701823875</PolicyNumber><UserName>f098bf6a</UserName><Password>f098bf6a</Password></PolicyDetails><PolicyDetails><PolicyNumber>701823876</PolicyNumber><UserName>dac2539f</UserName><Password>dac2539f</Password></PolicyDetails></RegistrationRes>