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>06/26/2017</StartDate>
  <EndDate>06/29/2017</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jason</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Cohen</Lastname>
    <Age>39</Age>
    <Dob>11/02/1977</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Solomon</Firstname>
    <Middlename>I</Middlename>
    <Lastname>Cohen</Lastname>
    <Age>3</Age>
    <Dob>03/27/2014</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/26/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5713 Worth Street</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Texas</State>
      <City>Dallas</City>
      <Postcode>75214</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jasonscott.cohen@gmail.com</Email>
    <Phone>
      <Home>2143366700</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4342580096580436</CreditcardNumber>
      <NameonCreditcard>Jason S Cohen</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>11.75</CreditcardAmount>
      <CreditcardCodeNumber>763</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a11652cb
193f2d6b
ARS-01-0035123
ARS-01-0035124
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0035123</PolicyNumber><UserName>a11652cb</UserName><Password>a11652cb</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0035124</PolicyNumber><UserName>193f2d6b</UserName><Password>193f2d6b</Password></PolicyDetails></RegistrationRes>