34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/10/2018</StartDate>
  <EndDate>03/12/2019</EndDate>
  <DestinationPlan>Bahamas</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Dana</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Leska</Lastname>
    <Age>29</Age>
    <Dob>10/06/1989</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/10/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>26788 W. LONGWOOD Dr.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Illinois</State>
      <City>Ingleside</City>
      <Postcode>60041</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dmleska@aol.com</Email>
    <Phone>
      <Home>3039169591</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jeanette Leska</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5581585453837797</CreditcardNumber>
      <NameonCreditcard>Dana M Leska</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>70.68</CreditcardAmount>
      <CreditcardCodeNumber>222</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e24555bf
701823435

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701823435</PolicyNumber><UserName>e24555bf</UserName><Password>e24555bf</Password></PolicyDetails></RegistrationRes>