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>03/19/2017</StartDate>
  <EndDate>03/30/2017</EndDate>
  <DestinationPlan>Nicaragua</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Eti</Firstname>
    <Middlename/>
    <Lastname>Shechtman</Lastname>
    <Age>31</Age>
    <Dob>02/10/1986</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/19/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1515 E Broward Blvd</Address1>
      <Address2>Apt 409</Address2>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Fort Lauderdale</City>
      <Postcode>33301</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>eti.shechtman@gmail.com</Email>
    <Phone>
      <Home>9544700743</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Michael Tucker</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202278567522</CreditcardNumber>
      <NameonCreditcard>Michael B Tucker</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>10.8</CreditcardAmount>
      <CreditcardCodeNumber>103</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d14e0587
ARS-01-0032764
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0032764</PolicyNumber><UserName>d14e0587</UserName><Password>d14e0587</Password></PolicyDetails></RegistrationRes>