34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>07/11/2018</StartDate>
  <EndDate>07/16/2018</EndDate>
  <DestinationPlan>Turks and Caicos</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Larry</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Douglas</Lastname>
    <Age>65</Age>
    <Dob>07/09/1953</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/11/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>234 Donahue Street </Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Sausalito </City>
      <Postcode>94965</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lsd5000@aol.com</Email>
    <Phone>
      <Home>4155185298</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Gillian and Michelle Douglas </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379586099382005</CreditcardNumber>
      <NameonCreditcard>Larry S Douglas</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>30.6</CreditcardAmount>
      <CreditcardCodeNumber>2177</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
117ebad9
201821690

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>201821690</PolicyNumber><UserName>117ebad9</UserName><Password>117ebad9</Password></PolicyDetails></RegistrationRes>