52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>10/24/2018</StartDate>
  <EndDate>11/07/2018</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Daniel</Firstname>
    <Middlename>T</Middlename>
    <Lastname>Ybarra</Lastname>
    <Age>51</Age>
    <Dob>01/25/1967</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Sandra</Firstname>
    <Middlename>C</Middlename>
    <Lastname>Ybarra</Lastname>
    <Age>46</Age>
    <Dob>01/27/1972</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/24/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>29776 PEACOCK MOUNTAIN DR</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>MENIFEE</City>
      <Postcode>92584</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ybarra15@yahoo.com</Email>
    <Phone>
      <Home>9517464637</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>The 2016 Ybarra Family Trust</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Estate</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371240471343007</CreditcardNumber>
      <NameonCreditcard>Daniel T Ybarra</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>72.3</CreditcardAmount>
      <CreditcardCodeNumber>0779</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
2150bc04
ff3f9a0f
701824391
701824392
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701824391</PolicyNumber><UserName>2150bc04</UserName><Password>2150bc04</Password></PolicyDetails><PolicyDetails><PolicyNumber>701824392</PolicyNumber><UserName>ff3f9a0f</UserName><Password>ff3f9a0f</Password></PolicyDetails></RegistrationRes>