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>05/06/2019</StartDate>
  <EndDate>05/16/2019</EndDate>
  <DestinationPlan>Belgium</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Trevor</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Bringhurst</Lastname>
    <Age>27</Age>
    <Dob>04/09/1992</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Braden</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Bringhurst</Lastname>
    <Age>21</Age>
    <Dob>07/20/1997</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Wade</Firstname>
    <Middlename>K</Middlename>
    <Lastname>Bringhurst</Lastname>
    <Age>23</Age>
    <Dob>11/29/1995</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/06/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1823 Red Mountain Dr.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Utah</State>
      <City>Santa Clara</City>
      <Postcode>84765</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>Trev_4b@hotmail.com</Email>
    <Phone>
      <Home>4357726924</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4266841602367995</CreditcardNumber>
      <NameonCreditcard>Trevor M Bringhurst</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>25.08</CreditcardAmount>
      <CreditcardCodeNumber>457</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
054b843f
ad300071
9d093371
701933081
701933082
701933083
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701933081</PolicyNumber><UserName>054b843f</UserName><Password>054b843f</Password></PolicyDetails><PolicyDetails><PolicyNumber>701933082</PolicyNumber><UserName>ad300071</UserName><Password>ad300071</Password></PolicyDetails><PolicyDetails><PolicyNumber>701933083</PolicyNumber><UserName>9d093371</UserName><Password>9d093371</Password></PolicyDetails></RegistrationRes>