34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>02/02/2018</StartDate>
  <EndDate>02/13/2018</EndDate>
  <DestinationPlan>Panama</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Mathew</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Brown</Lastname>
    <Age>23</Age>
    <Dob>08/20/1994</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/02/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>680 W King Edward Avenue</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>British Columbia</State>
      <City>Vancouver</City>
      <Postcode>v5z 2c5</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mathewb566@gmail.com</Email>
    <Phone>
      <Home>17788672493</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Keith Brown</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4520010041602717</CreditcardNumber>
      <NameonCreditcard>Mathew D Brown</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>14.25</CreditcardAmount>
      <CreditcardCodeNumber>785</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
6feabce4
ARS-01-0039146
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0039146</PolicyNumber><UserName>6feabce4</UserName><Password>6feabce4</Password></PolicyDetails></RegistrationRes>