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>06/26/2017</StartDate>
  <EndDate>07/12/2017</EndDate>
  <DestinationPlan>Uganda</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Fay</Firstname>
    <Middlename/>
    <Lastname>Horak</Lastname>
    <Age>65</Age>
    <Dob>09/21/1951</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Stanley</Firstname>
    <Middlename/>
    <Lastname>Horak</Lastname>
    <Age>66</Age>
    <Dob>02/22/1951</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/26/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3228 NorthEast  20th Ave </Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Oregon</State>
      <City>Portland</City>
      <Postcode>97212</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>fay.horak@gmail.com</Email>
    <Phone>
      <Home>5037043988</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147342024827919</CreditcardNumber>
      <NameonCreditcard>Fay  Horak</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>131.92</CreditcardAmount>
      <CreditcardCodeNumber>370</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
3867d029
2e112a0a
ARS-01-0034974
ARS-01-0034975
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0034974</PolicyNumber><UserName>3867d029</UserName><Password>3867d029</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0034975</PolicyNumber><UserName>2e112a0a</UserName><Password>2e112a0a</Password></PolicyDetails></RegistrationRes>