34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>04/12/2019</StartDate>
  <EndDate>04/15/2019</EndDate>
  <DestinationPlan>Bahamas</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jacqueline</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Rieman</Lastname>
    <Age>57</Age>
    <Dob>03/13/1962</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Mark</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Rieman</Lastname>
    <Age>60</Age>
    <Dob>08/13/1958</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/12/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1937 Golf Visa Blvd</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Rockledge</City>
      <Postcode>32955</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mrieman@capitalsource.com</Email>
    <Phone>
      <Home>7163085979</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Megan Hooks</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202291014874</CreditcardNumber>
      <NameonCreditcard>Mark A Rieman</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>38.65</CreditcardAmount>
      <CreditcardCodeNumber>042</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
fdbecaf3
8748a482
701928410
701928411
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701928410</PolicyNumber><UserName>fdbecaf3</UserName><Password>fdbecaf3</Password></PolicyDetails><PolicyDetails><PolicyNumber>701928411</PolicyNumber><UserName>8748a482</UserName><Password>8748a482</Password></PolicyDetails></RegistrationRes>