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>02/13/2017</StartDate>
  <EndDate>02/17/2017</EndDate>
  <DestinationPlan>Bahamas</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Deanna</Firstname>
    <Middlename>C</Middlename>
    <Lastname>Ray</Lastname>
    <Age>55</Age>
    <Dob>10/04/1961</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Anthony</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Ray</Lastname>
    <Age>56</Age>
    <Dob>01/26/1960</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Jerry</Firstname>
    <Middlename>W</Middlename>
    <Lastname>Goodman</Lastname>
    <Age>66</Age>
    <Dob>10/08/1950</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/13/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1931 S 19th St</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Indiana</State>
      <City>Terre Haute</City>
      <Postcode>47802</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>adrdcr@aol.com</Email>
    <Phone>
      <Home>8122396990</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Darla Coppock</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4037660025977380</CreditcardNumber>
      <NameonCreditcard>Deanna C Ray</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>45.4</CreditcardAmount>
      <CreditcardCodeNumber>109</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d1d19664
1402def6
960d51f1
ARS-01-0030824
ARS-01-0030825
ARS-01-0030826
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0030824</PolicyNumber><UserName>d1d19664</UserName><Password>d1d19664</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0030825</PolicyNumber><UserName>1402def6</UserName><Password>1402def6</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0030826</PolicyNumber><UserName>960d51f1</UserName><Password>960d51f1</Password></PolicyDetails></RegistrationRes>