34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>05/04/2019</StartDate>
  <EndDate>05/18/2019</EndDate>
  <DestinationPlan>Italy</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Joanna</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Cholewinski</Lastname>
    <Age>65</Age>
    <Dob>01/01/1954</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/04/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1932 S. Vine Ave</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Illinois</State>
      <City>PARK RIDGE</City>
      <Postcode>60068</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ewach@comcast.net</Email>
    <Phone>
      <Home>2246221517</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Monica Cholewinski</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4388576056083622</CreditcardNumber>
      <NameonCreditcard>Joanna E Cholewinski</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>57.38</CreditcardAmount>
      <CreditcardCodeNumber>786</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
12cc2709
701933868

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701933868</PolicyNumber><UserName>12cc2709</UserName><Password>12cc2709</Password></PolicyDetails></RegistrationRes>