52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>12/09/2017</StartDate>
  <EndDate>12/15/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Burghardt</Firstname>
    <Middlename/>
    <Lastname>Groeber</Lastname>
    <Age>51</Age>
    <Dob>03/06/1966</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/09/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1009-6 Nagakura</Address1>
      <Address2/>
      <Country>Japan</Country>
      <State/>
      <City>Karuizawa</City>
      <Postcode>389-0111</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>bgroeber@web.de</Email>
    <Phone>
      <Home>817042282129</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Tami Wada</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4028562002452364</CreditcardNumber>
      <NameonCreditcard>Burghardt  Groeber</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>22.44</CreditcardAmount>
      <CreditcardCodeNumber>063</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
531b7c2f
ARS-02-0038215
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0038215</PolicyNumber><UserName>531b7c2f</UserName><Password>531b7c2f</Password></PolicyDetails></RegistrationRes>