34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>01/12/2017</StartDate>
  <EndDate>01/22/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Naomi</Firstname>
    <Middlename/>
    <Lastname>Leanage</Lastname>
    <Age>24</Age>
    <Dob>09/18/1992</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/12/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>20 clover bloom rd</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Brampton</City>
      <Postcode>L6r 1r8</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>nml1010@hotmail.com</Email>
    <Phone>
      <Home>4166246516</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Paul Leanage</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371792163441002</CreditcardNumber>
      <NameonCreditcard>Naomi  Leanage</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>13.64</CreditcardAmount>
      <CreditcardCodeNumber>3133</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e7822a78
ARS-02-0031659
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0031659</PolicyNumber><UserName>e7822a78</UserName><Password>e7822a78</Password></PolicyDetails></RegistrationRes>