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>10/20/2018</StartDate>
  <EndDate>11/03/2018</EndDate>
  <DestinationPlan>Spain</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Edmund</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Marroquin de Salcedo</Lastname>
    <Age>55</Age>
    <Dob>08/29/1963</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Sacha</Firstname>
    <Middlename/>
    <Lastname>Suarez</Lastname>
    <Age>45</Age>
    <Dob>05/13/1973</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/20/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>236 S Lasky Dr</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Beverly Hills</City>
      <Postcode>90212</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>emarroquinmd@yahoo.com</Email>
    <Phone>
      <Home>4159921496</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Martha Salcedo</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>372829713186007</CreditcardNumber>
      <NameonCreditcard>Edmund Julian Marroquin MD</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>61.5</CreditcardAmount>
      <CreditcardCodeNumber>0947</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5df2055f
6cae4535
701824266
701824267
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701824266</PolicyNumber><UserName>5df2055f</UserName><Password>5df2055f</Password></PolicyDetails><PolicyDetails><PolicyNumber>701824267</PolicyNumber><UserName>6cae4535</UserName><Password>6cae4535</Password></PolicyDetails></RegistrationRes>