34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>10/16/2019</StartDate>
  <EndDate>10/23/2019</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Andrew</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Grobengieser</Lastname>
    <Age>50</Age>
    <Dob>10/12/1969</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/16/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>10-63 Jackson Ave</Address1>
      <Address2>Apt 5A</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>Long Island City</City>
      <Postcode>11101</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>agrobengieser@mac.com</Email>
    <Phone>
      <Home>9143107835</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Tom Grobengieser</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379750567651008</CreditcardNumber>
      <NameonCreditcard>Andrew Grobengieser</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>30.2</CreditcardAmount>
      <CreditcardCodeNumber>2720</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4294fdf2
701941631

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701941631</PolicyNumber><UserName>4294fdf2</UserName><Password>4294fdf2</Password></PolicyDetails></RegistrationRes>