34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>12000</MaximumLimit>
  <StartDate>01/17/2019</StartDate>
  <EndDate>02/20/2019</EndDate>
  <DestinationPlan>Brazil</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Herbert</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Brizel</Lastname>
    <Age>87</Age>
    <Dob>12/15/1931</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/17/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>4800 N 33rd Court</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Hollywood</City>
      <Postcode>33021</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>florieb@gmail.com</Email>
    <Phone>
      <Home>9549873339</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371387834018006</CreditcardNumber>
      <NameonCreditcard>Herbert E Brizel</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>376.25</CreditcardAmount>
      <CreditcardCodeNumber>8226</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5126602c
701927987

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701927987</PolicyNumber><UserName>5126602c</UserName><Password>5126602c</Password></PolicyDetails></RegistrationRes>