34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>02/21/2017</StartDate>
  <EndDate>04/14/2017</EndDate>
  <DestinationPlan>Brazil</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jeremy</Firstname>
    <Middlename/>
    <Lastname>Casebeer</Lastname>
    <Age>28</Age>
    <Dob>01/03/1989</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/21/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1050 North Ontare Road </Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Santa Barbara</City>
      <Postcode>93105</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jeremy.casebeer@gmail.com</Email>
    <Phone>
      <Home>8054481464</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4388576095653658</CreditcardNumber>
      <NameonCreditcard>Jeremy  Casebeer</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>50.35</CreditcardAmount>
      <CreditcardCodeNumber>327</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
3d309408
ARS-01-0032327
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0032327</PolicyNumber><UserName>3d309408</UserName><Password>3d309408</Password></PolicyDetails></RegistrationRes>