52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>10/13/2017</StartDate>
  <EndDate>10/21/2017</EndDate>
  <DestinationPlan>Ireland</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Stephanie</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Windisch</Lastname>
    <Age>29</Age>
    <Dob>10/15/1987</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/13/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>285 N Sable Blvd</Address1>
      <Address2>Unit 6208</Address2>
      <Country>United States</Country>
      <State>Colorado</State>
      <City>Aurora</City>
      <Postcode>80011</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>windisch.stephanie@gmail.com</Email>
    <Phone>
      <Home>3162530355</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202250667480</CreditcardNumber>
      <NameonCreditcard>Stephanie L Windisch</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>12.38</CreditcardAmount>
      <CreditcardCodeNumber>656</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5b7763de
ARS-01-0037419
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0037419</PolicyNumber><UserName>5b7763de</UserName><Password>5b7763de</Password></PolicyDetails></RegistrationRes>