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>10/30/2019</StartDate>
  <EndDate>11/02/2019</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Patricia</Firstname>
    <Middlename/>
    <Lastname>Broyles</Lastname>
    <Age>68</Age>
    <Dob>08/07/1951</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/30/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2765B W Anklam Rd</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Arizona</State>
      <City>Tucson</City>
      <Postcode>85745</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>pbroyles@eyes.arizona.edu</Email>
    <Phone>
      <Home>5206260044</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Michael Broyles</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4397078169168464</CreditcardNumber>
      <NameonCreditcard>Patricia  Broyles</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>19.4</CreditcardAmount>
      <CreditcardCodeNumber>806</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
2c8bd56f
701941959

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701941959</PolicyNumber><UserName>2c8bd56f</UserName><Password>2c8bd56f</Password></PolicyDetails></RegistrationRes>