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>12/30/2017</StartDate>
  <EndDate>01/06/2018</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>5</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Christopher</Firstname>
    <Middlename/>
    <Lastname>Zacharias</Lastname>
    <Age>47</Age>
    <Dob>02/02/1970</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Jana</Firstname>
    <Middlename/>
    <Lastname>Zacharias</Lastname>
    <Age>47</Age>
    <Dob>05/03/1970</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Raydan</Firstname>
    <Middlename/>
    <Lastname>Zacharias</Lastname>
    <Age>21</Age>
    <Dob>03/15/1996</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Morgan</Firstname>
    <Middlename/>
    <Lastname>Zacharias</Lastname>
    <Age>19</Age>
    <Dob>03/10/1998</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Samara</Firstname>
    <Middlename/>
    <Lastname>Zacharias</Lastname>
    <Age>16</Age>
    <Dob>01/21/2001</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/30/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>96 Bookstone Place</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Manitoba</State>
      <City>Winnipeg</City>
      <Postcode>r3yoc3</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>czacharias@citymixinc.com</Email>
    <Phone>
      <Home>2042756966</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5524903601270615</CreditcardNumber>
      <NameonCreditcard>Richard Zacharias</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>41.76</CreditcardAmount>
      <CreditcardCodeNumber>626</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
79521f2a
eb0874fb
c0e5e9ee
849519b1
a2578aec
ARS-01-0037632
ARS-01-0037633
ARS-01-0037634
ARS-01-0037635
ARS-01-0037636
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0037632</PolicyNumber><UserName>79521f2a</UserName><Password>79521f2a</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0037633</PolicyNumber><UserName>eb0874fb</UserName><Password>eb0874fb</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0037634</PolicyNumber><UserName>c0e5e9ee</UserName><Password>c0e5e9ee</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0037635</PolicyNumber><UserName>849519b1</UserName><Password>849519b1</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0037636</PolicyNumber><UserName>a2578aec</UserName><Password>a2578aec</Password></PolicyDetails></RegistrationRes>