34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>10/20/2017</StartDate>
  <EndDate>11/15/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Silvana </Firstname>
    <Middlename>S</Middlename>
    <Lastname>Reis</Lastname>
    <Age>59</Age>
    <Dob>05/29/1958</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/20/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Vicente Pires, 15 casa 01</Address1>
      <Address2>10836 torrey Pine road truckee, CA 96161</Address2>
      <Country>Brazil</Country>
      <State/>
      <City>Guara - Brasília</City>
      <Postcode>91095-000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>siqueirasilvana@hotmail.com</Email>
    <Phone>
      <Home>17757424282</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Mariana Orlando</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4718330001310974</CreditcardNumber>
      <NameonCreditcard>Mariana S Orlando</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>111.29</CreditcardAmount>
      <CreditcardCodeNumber>649</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
fc2022fa
ARS-02-0037529
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0037529</PolicyNumber><UserName>fc2022fa</UserName><Password>fc2022fa</Password></PolicyDetails></RegistrationRes>