34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>11/16/2017</StartDate>
  <EndDate>11/20/2017</EndDate>
  <DestinationPlan>Thailand</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Michael</Firstname>
    <Middlename>T</Middlename>
    <Lastname>Ostrowski</Lastname>
    <Age>27</Age>
    <Dob>05/20/1990</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/16/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>588 Xujiahui Rd</Address1>
      <Address2>Room 1107</Address2>
      <Country>China</Country>
      <State/>
      <City>Shanghai</City>
      <Postcode>200000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mtostro29@gmail.com</Email>
    <Phone>
      <Home>15150177996</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Michael P Ostrowski</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4833130019387224</CreditcardNumber>
      <NameonCreditcard>Michael T Ostrowski</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>15.47</CreditcardAmount>
      <CreditcardCodeNumber>996</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
2b8947f1
ARS-02-0037847
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0037847</PolicyNumber><UserName>2b8947f1</UserName><Password>2b8947f1</Password></PolicyDetails></RegistrationRes>