52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>12/05/2018</StartDate>
  <EndDate>01/19/2019</EndDate>
  <DestinationPlan>Thailand</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Mary</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Bevilacqua</Lastname>
    <Age>28</Age>
    <Dob>01/12/1990</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/05/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5383 Westridge Dr</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Colorado</State>
      <City>Boulder</City>
      <Postcode>80301-6502</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mary.bevilacqua1@gmail.com</Email>
    <Phone>
      <Home>3038597650</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Colin Hoffman</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Significant other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379251011941004</CreditcardNumber>
      <NameonCreditcard>Mary M Bevilacqua</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>56.81</CreditcardAmount>
      <CreditcardCodeNumber>4135</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
cfed07dc
701825957

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701825957</PolicyNumber><UserName>cfed07dc</UserName><Password>cfed07dc</Password></PolicyDetails></RegistrationRes>