52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/15/2017</StartDate>
  <EndDate>10/18/2017</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jane</Firstname>
    <Middlename/>
    <Lastname>Matwijecky</Lastname>
    <Age>69</Age>
    <Dob>03/10/1948</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/15/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3505 Stanford Ave</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Texas</State>
      <City>Dallas</City>
      <Postcode>75225</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>janesmat@gmail.com</Email>
    <Phone>
      <Home>2145052339</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jane Matwijecky</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Estate</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160105671638</CreditcardNumber>
      <NameonCreditcard>jane matwijecky</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>26.0</CreditcardAmount>
      <CreditcardCodeNumber>035</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f4594eb3
ARS-02-0037446
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0037446</PolicyNumber><UserName>f4594eb3</UserName><Password>f4594eb3</Password></PolicyDetails></RegistrationRes>