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>04/26/2017</StartDate>
  <EndDate>05/03/2017</EndDate>
  <DestinationPlan>Saint Barthelemy</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Christopher</Firstname>
    <Middlename/>
    <Lastname>Gillings</Lastname>
    <Age>30</Age>
    <Dob>09/28/1986</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/26/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>212 N 4th, #3A</Address1>
      <Address2/>
      <Country>Australia</Country>
      <State/>
      <City>Brooklyn</City>
      <Postcode>11211</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>chris@gillings.me</Email>
    <Phone>
      <Home>9176248601</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4079413302017325</CreditcardNumber>
      <NameonCreditcard>Chris  Gillings</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>7.2</CreditcardAmount>
      <CreditcardCodeNumber>458</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c4c23a5a
ARS-01-0033580
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0033580</PolicyNumber><UserName>c4c23a5a</UserName><Password>c4c23a5a</Password></PolicyDetails></RegistrationRes>