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>11/30/2016</StartDate>
  <EndDate>12/13/2016</EndDate>
  <DestinationPlan>Viet Nam</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Benjamin</Firstname>
    <Middlename>I</Middlename>
    <Lastname>Faulks</Lastname>
    <Age>41</Age>
    <Dob>09/24/1975</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Wiley</Firstname>
    <Middlename>W</Middlename>
    <Lastname>Verstappen</Lastname>
    <Age>53</Age>
    <Dob>09/24/1963</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/30/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>625 Marigny St.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Louisiana</State>
      <City>New Orleans</City>
      <Postcode>70117</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>benfaulks@gmail.com</Email>
    <Phone>
      <Home>3109948802</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Sarah Faulks-Roman</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>376762953434009</CreditcardNumber>
      <NameonCreditcard>Benjamin  Faulks</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>57.4</CreditcardAmount>
      <CreditcardCodeNumber>3166</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
69244067
2a50c8fb
ARS-01-0030832
ARS-01-0030833
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0030832</PolicyNumber><UserName>69244067</UserName><Password>69244067</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0030833</PolicyNumber><UserName>2a50c8fb</UserName><Password>2a50c8fb</Password></PolicyDetails></RegistrationRes>