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>12/18/2018</StartDate>
  <EndDate>03/06/2019</EndDate>
  <DestinationPlan>Thailand</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Theodore</Firstname>
    <Middlename>V</Middlename>
    <Lastname>Cohen</Lastname>
    <Age>34</Age>
    <Dob>06/06/1984</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/18/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>655 15th Street</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Manhattan Beach</City>
      <Postcode>90266</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>vjcohen@aol.com</Email>
    <Phone>
      <Home>3106194286</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Victor Cohen</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147099653080133</CreditcardNumber>
      <NameonCreditcard>Victor J Cohen</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>85.32</CreditcardAmount>
      <CreditcardCodeNumber>874</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f2bc0301
701826382

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701826382</PolicyNumber><UserName>f2bc0301</UserName><Password>f2bc0301</Password></PolicyDetails></RegistrationRes>