34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>01/12/2020</StartDate>
  <EndDate>01/18/2020</EndDate>
  <DestinationPlan>Peru</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Vincent</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Tornillo</Lastname>
    <Age>59</Age>
    <Dob>06/14/1960</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/12/2020</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>14650 West Bates Place</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Colorado</State>
      <City>Lakewood</City>
      <Postcode>80228</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>vincetornillo@comcast.net</Email>
    <Phone>
      <Home>3033244120</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Siena Rose &amp; Toscana DeMena Tornillo</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379759229151034</CreditcardNumber>
      <NameonCreditcard>Vincent J. Tornillo</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2024</CreditcardExpirationYear>
      <CreditcardAmount>26.95</CreditcardAmount>
      <CreditcardCodeNumber>2132</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
34a99f30
802044407

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802044407</PolicyNumber><UserName>34a99f30</UserName><Password>34a99f30</Password></PolicyDetails></RegistrationRes>