34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>04/11/2021</StartDate>
  <EndDate>04/17/2021</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Richard</Firstname>
    <Middlename>B</Middlename>
    <Lastname>Tokheim</Lastname>
    <Age>31</Age>
    <Dob>02/24/1990</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Sara</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Dorn</Lastname>
    <Age>31</Age>
    <Dob>04/11/1990</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/11/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>260 W 26th st</Address1>
      <Address2>Apt #8U</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>New York</City>
      <Postcode>10001</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>blaketokheim@gmail.com</Email>
    <Phone>
      <Home>4022104290</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Cari Tokheim</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>377276727205008</CreditcardNumber>
      <NameonCreditcard>Blake Tokheim</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2024</CreditcardExpirationYear>
      <CreditcardAmount>17.02</CreditcardAmount>
      <CreditcardCodeNumber>3631</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f89eb06d
deec9f34
691802053599
691802053600
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>691802053599</PolicyNumber><UserName>f89eb06d</UserName><Password>f89eb06d</Password></PolicyDetails><PolicyDetails><PolicyNumber>691802053600</PolicyNumber><UserName>deec9f34</UserName><Password>deec9f34</Password></PolicyDetails></RegistrationRes>