34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/23/2017</StartDate>
  <EndDate>09/10/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Dawson</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Lewis III</Lastname>
    <Age>32</Age>
    <Dob>10/17/1984</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/23/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Yokoo 3-6-2, Muramoto Apt. 201</Address1>
      <Address2>Yokoyama Apt. 201</Address2>
      <Country>Japan</Country>
      <State/>
      <City>Nagasaki</City>
      <Postcode>8528065</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dawsonrl3@gmail.com</Email>
    <Phone>
      <Home>817019441913</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5178058024881370</CreditcardNumber>
      <NameonCreditcard>Dawson R Lewis III</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>40.51</CreditcardAmount>
      <CreditcardCodeNumber>224</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
406fc003
ARS-02-0036526
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0036526</PolicyNumber><UserName>406fc003</UserName><Password>406fc003</Password></PolicyDetails></RegistrationRes>