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>11/30/2018</StartDate>
  <EndDate>12/19/2018</EndDate>
  <DestinationPlan>Poland</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Victoria</Firstname>
    <Middlename/>
    <Lastname>Barrett</Lastname>
    <Age>19</Age>
    <Dob>03/31/1999</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/30/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>416 E Wilson St</Address1>
      <Address2>Unit 35</Address2>
      <Country>United States</Country>
      <State>Wisconsin</State>
      <City>Madison</City>
      <Postcode>53703</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>vic.barrett@sustainus.org</Email>
    <Phone>
      <Home>8455913523</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4774310020738463</CreditcardNumber>
      <NameonCreditcard>Victoria  Barrett</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>15.2</CreditcardAmount>
      <CreditcardCodeNumber>095</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b8be6e10
701825811

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701825811</PolicyNumber><UserName>b8be6e10</UserName><Password>b8be6e10</Password></PolicyDetails></RegistrationRes>