34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>03/31/2018</StartDate>
  <EndDate>04/08/2018</EndDate>
  <DestinationPlan>Panama</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Valerie</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Gebert</Lastname>
    <Age>64</Age>
    <Dob>10/28/1953</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/31/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1311 Heritage Manor Drive Unit 302</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Jacksonville</City>
      <Postcode>32207</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>valeriegebert@gmail.com</Email>
    <Phone>
      <Home>9173641809</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kim Stephens</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379764878343007</CreditcardNumber>
      <NameonCreditcard>Valerie L Gebert</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>32.18</CreditcardAmount>
      <CreditcardCodeNumber>7081</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5f6d449a
ARS-01-0040119
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0040119</PolicyNumber><UserName>5f6d449a</UserName><Password>5f6d449a</Password></PolicyDetails></RegistrationRes>