34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>03/25/2017</StartDate>
  <EndDate>03/30/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Rhonda</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Derksen</Lastname>
    <Age>43</Age>
    <Dob>12/17/1973</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Stephen</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Derksen</Lastname>
    <Age>42</Age>
    <Dob>02/22/1975</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Samantha</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Derksen</Lastname>
    <Age>15</Age>
    <Dob>10/15/2001</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/25/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>14 Castlebury Court</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Manitoba</State>
      <City>Winnipeg</City>
      <Postcode>R3P 1J7</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>derksen5@mts.net</Email>
    <Phone>
      <Home>2045906198</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5446122005437457</CreditcardNumber>
      <NameonCreditcard>rhonda j derksen</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>48.58</CreditcardAmount>
      <CreditcardCodeNumber>181</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c64ab41d
4150b4be
d8f7d6f4
ARS-02-0032855
ARS-02-0032856
ARS-02-0032857
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0032855</PolicyNumber><UserName>c64ab41d</UserName><Password>c64ab41d</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0032856</PolicyNumber><UserName>4150b4be</UserName><Password>4150b4be</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0032857</PolicyNumber><UserName>d8f7d6f4</UserName><Password>d8f7d6f4</Password></PolicyDetails></RegistrationRes>