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>02/11/2018</StartDate>
  <EndDate>12/31/2018</EndDate>
  <DestinationPlan>Costa Rica</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jennifer</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Lock</Lastname>
    <Age>38</Age>
    <Dob>10/07/1979</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/11/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>828 Pacific Ridge Road </Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Kissimmee </City>
      <Postcode>34759</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ridesurfswim@gmail.com</Email>
    <Phone>
      <Home>6126000430</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379585318211003</CreditcardNumber>
      <NameonCreditcard>Jennifer M Lock</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>454.9</CreditcardAmount>
      <CreditcardCodeNumber>2977</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ed8502f9
ARS-01-0039250
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0039250</PolicyNumber><UserName>ed8502f9</UserName><Password>ed8502f9</Password></PolicyDetails></RegistrationRes>