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>11/17/2016</StartDate>
  <EndDate>05/31/2017</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Katherine</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Devlin</Lastname>
    <Age>26</Age>
    <Dob>05/10/1990</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/17/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>108 Bobtail St.</Address1>
      <Address2>PO Box 806</Address2>
      <Country>United States</Country>
      <State>Colorado</State>
      <City>Ophir</City>
      <Postcode>81426</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>devlink@colorado.edu</Email>
    <Phone>
      <Home>5082022045</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Suzanne Devlin</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4888940143375315</CreditcardNumber>
      <NameonCreditcard>Katherine M Devlin</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>243.04</CreditcardAmount>
      <CreditcardCodeNumber>179</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
7487f052
ARS-02-0030513
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0030513</PolicyNumber><UserName>7487f052</UserName><Password>7487f052</Password></PolicyDetails></RegistrationRes>