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>06/17/2019</StartDate>
  <EndDate>06/18/2019</EndDate>
  <DestinationPlan>Dominican Republic</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Kellen</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Muldoon</Lastname>
    <Age>28</Age>
    <Dob>10/14/1990</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/17/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>11811 W Whitaker Ave</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Wisconsin</State>
      <City>Greenfield</City>
      <Postcode>53228</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kellen@am-ex.com</Email>
    <Phone>
      <Home>4144037473</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Thomas J Muldoon</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5474150005850739</CreditcardNumber>
      <NameonCreditcard>Thomas J  Muldoon</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>3.8</CreditcardAmount>
      <CreditcardCodeNumber>519</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a9953d8e
701936993

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701936993</PolicyNumber><UserName>a9953d8e</UserName><Password>a9953d8e</Password></PolicyDetails></RegistrationRes>