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>08/01/2018</StartDate>
  <EndDate>08/04/2018</EndDate>
  <DestinationPlan>Dominican Republic</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jose</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Diaz</Lastname>
    <Age>69</Age>
    <Dob>10/11/1948</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/01/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>9652 Ridgecrest Court</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Davie</City>
      <Postcode>33328</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>hankglv@gmail.com</Email>
    <Phone>
      <Home>3052831645</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Valentina A. Diaz</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147099829523164</CreditcardNumber>
      <NameonCreditcard>Jose E Diaz</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>19.4</CreditcardAmount>
      <CreditcardCodeNumber>838</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9dec1eb7
201870099

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>201870099</PolicyNumber><UserName>9dec1eb7</UserName><Password>9dec1eb7</Password></PolicyDetails></RegistrationRes>