34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>01/25/2017</StartDate>
  <EndDate>02/01/2017</EndDate>
  <DestinationPlan>Brazil</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Minouche</Firstname>
    <Middlename/>
    <Lastname>Martins</Lastname>
    <Age>44</Age>
    <Dob>12/15/1972</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/25/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2107 April Sound Lane </Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Texas</State>
      <City>Ftisco</City>
      <Postcode>35033</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>minouche.email@gmail.com</Email>
    <Phone>
      <Home>2144630436</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160365298122</CreditcardNumber>
      <NameonCreditcard>Minouche  Martin</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>14.4</CreditcardAmount>
      <CreditcardCodeNumber>424</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
81cdf40e
ARS-01-0031928
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0031928</PolicyNumber><UserName>81cdf40e</UserName><Password>81cdf40e</Password></PolicyDetails></RegistrationRes>