34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>06/21/2017</StartDate>
  <EndDate>07/02/2017</EndDate>
  <DestinationPlan>Fiji</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Shaun</Firstname>
    <Middlename>G</Middlename>
    <Lastname>Lopez</Lastname>
    <Age>39</Age>
    <Dob>07/22/1977</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/21/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Po box 791533</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Hawaii</State>
      <City>Paia</City>
      <Postcode>96779</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lopez638@gmail.com</Email>
    <Phone>
      <Home>8082580678</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5404044983711481</CreditcardNumber>
      <NameonCreditcard>Shaun G Lopez</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>16.2</CreditcardAmount>
      <CreditcardCodeNumber>130</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9eed4e8a
ARS-01-0034982
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0034982</PolicyNumber><UserName>9eed4e8a</UserName><Password>9eed4e8a</Password></PolicyDetails></RegistrationRes>