34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>1000</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>09/17/2019</StartDate>
  <EndDate>10/06/2019</EndDate>
  <DestinationPlan>Jordan</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Petr</Firstname>
    <Middlename/>
    <Lastname>Stohr</Lastname>
    <Age>71</Age>
    <Dob>10/03/1947</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/17/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>6449 s. Van Gordon Str.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Colorado</State>
      <City>Littleton</City>
      <Postcode>80127</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>pstohr47@msn.com</Email>
    <Phone>
      <Home>7209350318</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Peter Stohr</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4388576104624096</CreditcardNumber>
      <NameonCreditcard>Peter  Stohr</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>92.0</CreditcardAmount>
      <CreditcardCodeNumber>743</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4ba86387
701940721

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701940721</PolicyNumber><UserName>4ba86387</UserName><Password>4ba86387</Password></PolicyDetails></RegistrationRes>