34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>03/02/2019</StartDate>
  <EndDate>03/08/2019</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Tisha</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Galvan</Lastname>
    <Age>37</Age>
    <Dob>07/28/1981</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/02/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3439 NE Sandy Blvd. #133</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Oregon</State>
      <City>Portland</City>
      <Postcode>97232</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>hellotishakitty@gmail.com</Email>
    <Phone>
      <Home>7605606220</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Charles J Speelman Jr. </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5178059213265433</CreditcardNumber>
      <NameonCreditcard>Tisha Galvan</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>12.08</CreditcardAmount>
      <CreditcardCodeNumber>359</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d0b64fa2
701930501

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701930501</PolicyNumber><UserName>d0b64fa2</UserName><Password>d0b64fa2</Password></PolicyDetails></RegistrationRes>