34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>11/20/2017</StartDate>
  <EndDate>11/24/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Judith</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Pittman</Lastname>
    <Age>74</Age>
    <Dob>10/20/1943</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/20/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>4407, 100 Chinook Winds Place SW</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Alberta</State>
      <City>Airdrie</City>
      <Postcode>T4B4B4</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>judepittman@telus.net</Email>
    <Phone>
      <Home>4037104869</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>John Makowski</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4504400041189304</CreditcardNumber>
      <NameonCreditcard>Judith L Pittman</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>36.0</CreditcardAmount>
      <CreditcardCodeNumber>143</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
48cc3e26
ARS-02-0037922
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0037922</PolicyNumber><UserName>48cc3e26</UserName><Password>48cc3e26</Password></PolicyDetails></RegistrationRes>