34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>11/09/2018</StartDate>
  <EndDate>11/12/2018</EndDate>
  <DestinationPlan>Ukraine</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>David</Firstname>
    <Middlename/>
    <Lastname>Rosten</Lastname>
    <Age>65</Age>
    <Dob>07/28/1953</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/09/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>David Rosten</Address1>
      <Address2>220 Newport Center Drive</Address2>
      <Country>United States</Country>
      <State>California</State>
      <City>Newport Beach</City>
      <Postcode>92660</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>db.rosten@gmail.com</Email>
    <Phone>
      <Home>9492805714</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Brooke &amp; Annika &amp; Chase Rosten</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5362255883744675</CreditcardNumber>
      <NameonCreditcard>David Rosten</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>21.25</CreditcardAmount>
      <CreditcardCodeNumber>051</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c470ffc5
701824969

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701824969</PolicyNumber><UserName>c470ffc5</UserName><Password>c470ffc5</Password></PolicyDetails></RegistrationRes>