52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/12/2020</StartDate>
  <EndDate>12/14/2020</EndDate>
  <DestinationPlan>Sint Maarten</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Eric</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Harmatz</Lastname>
    <Age>28</Age>
    <Dob>05/25/1992</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/12/2020</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>960 E Paces Ferry Rd NE</Address1>
      <Address2>Apt 532</Address2>
      <Country>United States</Country>
      <State>Georgia</State>
      <City>Atlanta</City>
      <Postcode>30326</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>eric@ericharmatz.com</Email>
    <Phone>
      <Home>8587615461</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Mary Colosimo</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202261585093</CreditcardNumber>
      <NameonCreditcard>Eric L Harmatz</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2024</CreditcardExpirationYear>
      <CreditcardAmount>2.66</CreditcardAmount>
      <CreditcardCodeNumber>292</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
81a2bb2a
802051301

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802051301</PolicyNumber><UserName>81a2bb2a</UserName><Password>81a2bb2a</Password></PolicyDetails></RegistrationRes>