34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/14/2018</StartDate>
  <EndDate>06/30/2018</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Adam</Firstname>
    <Middlename/>
    <Lastname>Thal</Lastname>
    <Age>29</Age>
    <Dob>10/04/1988</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Molly</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Cohen</Lastname>
    <Age>28</Age>
    <Dob>07/13/1989</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/14/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>310 W 112th St.</Address1>
      <Address2>Apt. 5B</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>New York</City>
      <Postcode>10026</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>athal888@gmail.com</Email>
    <Phone>
      <Home>9176581047</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202352461931</CreditcardNumber>
      <NameonCreditcard>Adam  Thal</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>25.84</CreditcardAmount>
      <CreditcardCodeNumber>769</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
21d24685
3a80dec2
ARS-01-0041863
ARS-01-0041864
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0041863</PolicyNumber><UserName>21d24685</UserName><Password>21d24685</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0041864</PolicyNumber><UserName>3a80dec2</UserName><Password>3a80dec2</Password></PolicyDetails></RegistrationRes>