34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>05/12/2019</StartDate>
  <EndDate>06/02/2019</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Diane</Firstname>
    <Middlename>T</Middlename>
    <Lastname>Nichols</Lastname>
    <Age>74</Age>
    <Dob>03/09/1945</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/12/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>17338 W Lake Desire Dr SE</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Renton</City>
      <Postcode>98058</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dianenicholsleo@hotmail.com</Email>
    <Phone>
      <Home>4257533613</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Aimee Nicole Nichols</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4100390134275987</CreditcardNumber>
      <NameonCreditcard>Diane T Nichols</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>126.5</CreditcardAmount>
      <CreditcardCodeNumber>553</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a9b563f2
701934248

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701934248</PolicyNumber><UserName>a9b563f2</UserName><Password>a9b563f2</Password></PolicyDetails></RegistrationRes>