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>12/30/2016</StartDate>
  <EndDate>01/03/2017</EndDate>
  <DestinationPlan>Cayman Islands</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Beth </Firstname>
    <Middlename/>
    <Lastname>Lawrence</Lastname>
    <Age>35</Age>
    <Dob>10/09/1981</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/30/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2420 S Coral Trace Cir</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Delray Beach </City>
      <Postcode>33445</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>prbeth@gmail.com</Email>
    <Phone>
      <Home>5617028488</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202279675381</CreditcardNumber>
      <NameonCreditcard>Beth   Lawrence</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>4.5</CreditcardAmount>
      <CreditcardCodeNumber>233</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a68ffd0a
ARS-01-0031435
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0031435</PolicyNumber><UserName>a68ffd0a</UserName><Password>a68ffd0a</Password></PolicyDetails></RegistrationRes>