34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>08/24/2019</StartDate>
  <EndDate>08/29/2019</EndDate>
  <DestinationPlan>Bahamas The</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Larry</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Benorden</Lastname>
    <Age>59</Age>
    <Dob>12/13/1959</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Deanne</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Benorden </Lastname>
    <Age>54</Age>
    <Dob>02/04/1965</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/24/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>11764 Crystal Brook Lane</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Tennessee</State>
      <City>Knoxville </City>
      <Postcode>37934</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dlbenorden@yahoo.com</Email>
    <Phone>
      <Home>8659247778</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kelsey Baird</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202191430592</CreditcardNumber>
      <NameonCreditcard>Larry A Benorden</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2024</CreditcardExpirationYear>
      <CreditcardAmount>36.96</CreditcardAmount>
      <CreditcardCodeNumber>934</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
84f7316d
11874ee1
701939905
701939906
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701939905</PolicyNumber><UserName>84f7316d</UserName><Password>84f7316d</Password></PolicyDetails><PolicyDetails><PolicyNumber>701939906</PolicyNumber><UserName>11874ee1</UserName><Password>11874ee1</Password></PolicyDetails></RegistrationRes>