34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>07/13/2017</StartDate>
  <EndDate>08/13/2017</EndDate>
  <DestinationPlan>Belgium</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Fredrick Oliver</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Flautt</Lastname>
    <Age>24</Age>
    <Dob>05/28/1993</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/13/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5767 Shawn Terrace</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Georgia</State>
      <City>Norcross </City>
      <Postcode>30092</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>olflautt@hotmail.com</Email>
    <Phone>
      <Home>4043071222</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Patrick Flautt</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4833120041188724</CreditcardNumber>
      <NameonCreditcard>Patrick Flautt</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>33.44</CreditcardAmount>
      <CreditcardCodeNumber>129</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5440bc85
ARS-01-0035548
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0035548</PolicyNumber><UserName>5440bc85</UserName><Password>5440bc85</Password></PolicyDetails></RegistrationRes>