34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/02/2017</StartDate>
  <EndDate>09/15/2017</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>anthony</Firstname>
    <Middlename>m</Middlename>
    <Lastname>bushik</Lastname>
    <Age>39</Age>
    <Dob>02/15/1978</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>teresa</Firstname>
    <Middlename>a</Middlename>
    <Lastname>barton</Lastname>
    <Age>34</Age>
    <Dob>02/22/1983</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/02/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5239 n ashland ave apt g</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Illinois</State>
      <City>chicago</City>
      <Postcode>60640</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>tonybushik@gmail.com</Email>
    <Phone>
      <Home>3126189967</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>shirlee tarasovic</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4311963121845569</CreditcardNumber>
      <NameonCreditcard>anthony m bushik</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>57.4</CreditcardAmount>
      <CreditcardCodeNumber>901</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ac73a17f
dcba97c8
ARS-02-0036727
ARS-02-0036728
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0036727</PolicyNumber><UserName>ac73a17f</UserName><Password>ac73a17f</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0036728</PolicyNumber><UserName>dcba97c8</UserName><Password>dcba97c8</Password></PolicyDetails></RegistrationRes>