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>03/11/2018</StartDate>
  <EndDate>03/17/2018</EndDate>
  <DestinationPlan>Austria</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Kathh</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Grant</Lastname>
    <Age>60</Age>
    <Dob>03/30/1957</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/11/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>25937 Sardinia ct</Address1>
      <Address2>25937 Sardinia ct</Address2>
      <Country>United States</Country>
      <State>California</State>
      <City>Valencia</City>
      <Postcode>91355</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>Kathylgrant20@yahoo.com</Email>
    <Phone>
      <Home>8053413239</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Yosef Agmon</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>significant-other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4388540054834055</CreditcardNumber>
      <NameonCreditcard>Kathy L Grant</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>32.76</CreditcardAmount>
      <CreditcardCodeNumber>839</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c009c9d7
ARS-01-0039768
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0039768</PolicyNumber><UserName>c009c9d7</UserName><Password>c009c9d7</Password></PolicyDetails></RegistrationRes>