34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>02/03/2017</StartDate>
  <EndDate>02/11/2017</EndDate>
  <DestinationPlan>Panama</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>David</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Polonsky</Lastname>
    <Age>32</Age>
    <Dob>11/23/1984</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Nora</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Volger</Lastname>
    <Age>32</Age>
    <Dob>08/22/1984</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/03/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>630 1st Avenue, Apt 24E</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>New York</City>
      <Postcode>10016</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>davidpolonsky@gmail.com</Email>
    <Phone>
      <Home>6468309593</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Nora Volger</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202280439900</CreditcardNumber>
      <NameonCreditcard>David S Polonsky</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>16.2</CreditcardAmount>
      <CreditcardCodeNumber>793</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5cb482d3
c3dcd10e
ARS-01-0032082
ARS-01-0032083
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0032082</PolicyNumber><UserName>5cb482d3</UserName><Password>5cb482d3</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0032083</PolicyNumber><UserName>c3dcd10e</UserName><Password>c3dcd10e</Password></PolicyDetails></RegistrationRes>