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>06/05/2018</StartDate>
  <EndDate>06/20/2018</EndDate>
  <DestinationPlan>Czech Republic</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Sylvi</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Shonka</Lastname>
    <Age>14</Age>
    <Dob>09/28/2003</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/05/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>643 S. Washington Ave.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Wisconsin</State>
      <City>Viroqua</City>
      <Postcode>54665</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>gshonka@hotmail.com</Email>
    <Phone>
      <Home>6086372393</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Geralyn M. Thompson Shonka</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5243661082326195</CreditcardNumber>
      <NameonCreditcard>G Thompson Shonka</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>24.7</CreditcardAmount>
      <CreditcardCodeNumber>066</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
10752721
ARS-01-0041648
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0041648</PolicyNumber><UserName>10752721</UserName><Password>10752721</Password></PolicyDetails></RegistrationRes>