52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>10/17/2018</StartDate>
  <EndDate>10/29/2018</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Mark</Firstname>
    <Middlename/>
    <Lastname>Gilchrist</Lastname>
    <Age>52</Age>
    <Dob>11/09/1965</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/17/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>10060 W Royal Oak Rd</Address1>
      <Address2>Unit M</Address2>
      <Country>United States</Country>
      <State>Arizona</State>
      <City>Sun City</City>
      <Postcode>85351</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mark_gilchrist@hotmail.com</Email>
    <Phone>
      <Home>2085282962</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Gail Parks</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4270829024338144</CreditcardNumber>
      <NameonCreditcard>Mark E Gilchrist</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>74.43</CreditcardAmount>
      <CreditcardCodeNumber>256</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
676591aa
701824146

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701824146</PolicyNumber><UserName>676591aa</UserName><Password>676591aa</Password></PolicyDetails></RegistrationRes>