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>11/23/2017</StartDate>
  <EndDate>12/08/2017</EndDate>
  <DestinationPlan>Costa Rica</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Rachael</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Charlton</Lastname>
    <Age>34</Age>
    <Dob>07/14/1983</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/23/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>55 Triller Ave </Address1>
      <Address2>Apr 2008</Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>TO</City>
      <Postcode>M6R2H6</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>rachaelcharlton@me.com</Email>
    <Phone>
      <Home>6472053250</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jaden Charlton </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5280610003458094</CreditcardNumber>
      <NameonCreditcard>Rachael A Charlton</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>26.24</CreditcardAmount>
      <CreditcardCodeNumber>265</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
2d8a4ea7
ARS-02-0037994
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0037994</PolicyNumber><UserName>2d8a4ea7</UserName><Password>2d8a4ea7</Password></PolicyDetails></RegistrationRes>