52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>10/17/2017</StartDate>
  <EndDate>10/28/2017</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Conor</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Belfield</Lastname>
    <Age>21</Age>
    <Dob>04/08/1996</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Anne</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Belfield</Lastname>
    <Age>27</Age>
    <Dob>08/29/1990</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Carol</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Belfield</Lastname>
    <Age>62</Age>
    <Dob>01/09/1955</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/17/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>510 1/2 Fernleaf Ave.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Corona del Mar</City>
      <Postcode>92625</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>cbelfield@roadrunner.com</Email>
    <Phone>
      <Home>8183780243</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Annie and Conor Belfield, in equal shares</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4342562270920968</CreditcardNumber>
      <NameonCreditcard>Carol L Belfield</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>117.55</CreditcardAmount>
      <CreditcardCodeNumber>219</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
0bc8332c
4327ba39
e91ebff8
ARS-01-0037465
ARS-01-0037466
ARS-01-0037467
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0037465</PolicyNumber><UserName>0bc8332c</UserName><Password>0bc8332c</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0037466</PolicyNumber><UserName>4327ba39</UserName><Password>4327ba39</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0037467</PolicyNumber><UserName>e91ebff8</UserName><Password>e91ebff8</Password></PolicyDetails></RegistrationRes>