34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>1000</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/12/2019</StartDate>
  <EndDate>11/20/2019</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Dale</Firstname>
    <Middlename>G</Middlename>
    <Lastname>Ellis</Lastname>
    <Age>69</Age>
    <Dob>03/02/1950</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Paula</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Ellis</Lastname>
    <Age>69</Age>
    <Dob>06/23/1950</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/12/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>466 E 113th St S</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Oklahoma</State>
      <City>Jenks</City>
      <Postcode>74037</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dgellis72@yahoo.com</Email>
    <Phone>
      <Home>2145340733</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Ellis Trust</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Estate</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160374667135</CreditcardNumber>
      <NameonCreditcard>Dale G Ellis</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>55.88</CreditcardAmount>
      <CreditcardCodeNumber>000</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
03bf6943
0d7c989a
701942636
701942637
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701942636</PolicyNumber><UserName>03bf6943</UserName><Password>03bf6943</Password></PolicyDetails><PolicyDetails><PolicyNumber>701942637</PolicyNumber><UserName>0d7c989a</UserName><Password>0d7c989a</Password></PolicyDetails></RegistrationRes>