34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>05/12/2018</StartDate>
  <EndDate>05/14/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Burghardt</Firstname>
    <Middlename/>
    <Lastname>Groeber</Lastname>
    <Age>52</Age>
    <Dob>03/06/1966</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/12/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1009-6 Nagakura</Address1>
      <Address2/>
      <Country>Japan</Country>
      <State/>
      <City>Karuizawa</City>
      <Postcode>389-0111</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>bgroeber@web.de</Email>
    <Phone>
      <Home>817042282129</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5310013015438739</CreditcardNumber>
      <NameonCreditcard>Burghardt  Groeber</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>20.84</CreditcardAmount>
      <CreditcardCodeNumber>104</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
16d2a5e4
ARS-02-0040993
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0040993</PolicyNumber><UserName>16d2a5e4</UserName><Password>16d2a5e4</Password></PolicyDetails></RegistrationRes>