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>02/19/2021</StartDate>
  <EndDate>03/08/2021</EndDate>
  <DestinationPlan>Brazil</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Craig</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Ratzat</Lastname>
    <Age>68</Age>
    <Dob>06/19/1952</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/19/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>68731 east 70 rd</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Oklahoma</State>
      <City>Quapaw </City>
      <Postcode>74363</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>neolithics@earthling.net</Email>
    <Phone>
      <Home>9185424749</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5581585864508490</CreditcardNumber>
      <NameonCreditcard>Craig L Ratzat</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>69.84</CreditcardAmount>
      <CreditcardCodeNumber>502</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
056cd968
802052669

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802052669</PolicyNumber><UserName>056cd968</UserName><Password>056cd968</Password></PolicyDetails></RegistrationRes>