52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>11/18/2017</StartDate>
  <EndDate>11/22/2017</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Miwako</Firstname>
    <Middlename/>
    <Lastname>Sato</Lastname>
    <Age>41</Age>
    <Dob>12/14/1975</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/18/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>6501 Gibbs Drive</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Bakersfield</City>
      <Postcode>93313</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>la_sweetsunshine@yahoo.co.jp</Email>
    <Phone>
      <Home>3104970973</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Vergil Ward</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4815820055005936</CreditcardNumber>
      <NameonCreditcard>Miwako  Sato</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>25.0</CreditcardAmount>
      <CreditcardCodeNumber>602</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
908574f8
ARS-02-0037926
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0037926</PolicyNumber><UserName>908574f8</UserName><Password>908574f8</Password></PolicyDetails></RegistrationRes>