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>11/24/2016</StartDate>
  <EndDate>12/03/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Vincent</Firstname>
    <Middlename>H</Middlename>
    <Lastname>Greathouse </Lastname>
    <Age>15</Age>
    <Dob>09/21/2001</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/24/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>75 Lochaber st</Address1>
      <Address2/>
      <Country>Australia</Country>
      <State/>
      <City>Dutton Park</City>
      <Postcode>4102</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>greathousekurt2@gmail.com</Email>
    <Phone>
      <Home>0738441177</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kurt Greathouse </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5178059574812203</CreditcardNumber>
      <NameonCreditcard>Kurt Greathouse </NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>12.3</CreditcardAmount>
      <CreditcardCodeNumber>899</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b47c79b7
ARS-02-0030757
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0030757</PolicyNumber><UserName>b47c79b7</UserName><Password>b47c79b7</Password></PolicyDetails></RegistrationRes>