34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/07/2018</StartDate>
  <EndDate>06/14/2018</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Marc</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Brouillard </Lastname>
    <Age>51</Age>
    <Dob>11/08/1966</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/07/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>423 NE 23 Street, Apt 709</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Miami</City>
      <Postcode>33137</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>falconsandra@ymail.com</Email>
    <Phone>
      <Home>3054011916</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Sandra Falcon</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160364697845</CreditcardNumber>
      <NameonCreditcard>Marc L Brouillard </NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>28.8</CreditcardAmount>
      <CreditcardCodeNumber>724</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8a117c52
ARS-02-0041686
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0041686</PolicyNumber><UserName>8a117c52</UserName><Password>8a117c52</Password></PolicyDetails></RegistrationRes>