34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>05/13/2019</StartDate>
  <EndDate>05/20/2019</EndDate>
  <DestinationPlan>Tonga</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Heilupeau</Firstname>
    <Middlename/>
    <Lastname>Quartararo</Lastname>
    <Age>66</Age>
    <Dob>04/05/1953</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/13/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>16725 Birchwood Ln</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Fontana</City>
      <Postcode>92336</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>s.quart@att.net</Email>
    <Phone>
      <Home>7143374323</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Stephen A Quartararo</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5121072143307470</CreditcardNumber>
      <NameonCreditcard>Stephen A Quartararo</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>42.5</CreditcardAmount>
      <CreditcardCodeNumber>677</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d97d9ae2
701934332

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701934332</PolicyNumber><UserName>d97d9ae2</UserName><Password>d97d9ae2</Password></PolicyDetails></RegistrationRes>