34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>08/23/2018</StartDate>
  <EndDate>09/17/2018</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Alfred</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Gollatz</Lastname>
    <Age>73</Age>
    <Dob>12/30/1944</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/23/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>140 Birmingham Road</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Pennsylvania</State>
      <City>West Chester</City>
      <Postcode>19382</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>agollatz@gmail.com</Email>
    <Phone>
      <Home>4844594955</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jill Garner</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371383971271003</CreditcardNumber>
      <NameonCreditcard>Alfred A Gollatz</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>149.5</CreditcardAmount>
      <CreditcardCodeNumber>0011</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
3e972863
201854405

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>201854405</PolicyNumber><UserName>3e972863</UserName><Password>3e972863</Password></PolicyDetails></RegistrationRes>