52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/10/2016</StartDate>
  <EndDate>11/17/2016</EndDate>
  <DestinationPlan>Belgium</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Sheindy</Firstname>
    <Middlename/>
    <Lastname>Gluck</Lastname>
    <Age>19</Age>
    <Dob>07/18/1997</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/10/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>7 Van Beuren Dr </Address1>
      <Address2>Unit 313</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>Monroe </City>
      <Postcode>10950</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>vw39s1@frontiernet.net</Email>
    <Phone>
      <Home>8454928525</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jacob Gluck</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5524754004531297</CreditcardNumber>
      <NameonCreditcard>Jacob Gluck</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>6.08</CreditcardAmount>
      <CreditcardCodeNumber>380</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
fc3c1f99
ARS-01-0030535
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0030535</PolicyNumber><UserName>fc3c1f99</UserName><Password>fc3c1f99</Password></PolicyDetails></RegistrationRes>