52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/14/2017</StartDate>
  <EndDate>10/23/2017</EndDate>
  <DestinationPlan>Belize</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Michele</Firstname>
    <Middlename>T</Middlename>
    <Lastname>Kuhn</Lastname>
    <Age>47</Age>
    <Dob>02/06/1970</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/14/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>121 Keep Circle</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Colorado</State>
      <City>Berthoud</City>
      <Postcode>80513</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>micheleku70@yahoo.com</Email>
    <Phone>
      <Home>3037756037</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Mark Kuhn</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202320894197</CreditcardNumber>
      <NameonCreditcard>Katherine Kuhn</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>16.5</CreditcardAmount>
      <CreditcardCodeNumber>113</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
24e65fb6
ARS-01-0037425
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0037425</PolicyNumber><UserName>24e65fb6</UserName><Password>24e65fb6</Password></PolicyDetails></RegistrationRes>