52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>11/13/2018</StartDate>
  <EndDate>11/16/2018</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Andrew</Firstname>
    <Middlename>C</Middlename>
    <Lastname>Bohman</Lastname>
    <Age>52</Age>
    <Dob>01/14/1966</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/13/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>9936 LIBERTY VIEW RD</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Nevada</State>
      <City>LAS VEGAS</City>
      <Postcode>89148</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>bohman@juno.com</Email>
    <Phone>
      <Home>7024911101</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Andrew Bohman</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4100390498029400</CreditcardNumber>
      <NameonCreditcard>ANDREW C BOHMAN</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>19.63</CreditcardAmount>
      <CreditcardCodeNumber>670</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4a8e3b96
701825072

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701825072</PolicyNumber><UserName>4a8e3b96</UserName><Password>4a8e3b96</Password></PolicyDetails></RegistrationRes>