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>12/08/2019</StartDate>
  <EndDate>12/18/2019</EndDate>
  <DestinationPlan>Antarctica</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Reid</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Brooks</Lastname>
    <Age>33</Age>
    <Dob>10/24/1986</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/08/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3740 NW 60th st</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Oklahoma</State>
      <City>Oklahoma City</City>
      <Postcode>73112</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>rpbrooks.usc@gmail.com</Email>
    <Phone>
      <Home>4055903300</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Reid Patrick Brooks</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4179030003329707</CreditcardNumber>
      <NameonCreditcard>Reid P Brooks</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>9.9</CreditcardAmount>
      <CreditcardCodeNumber>540</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
86e171a9
701942844

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701942844</PolicyNumber><UserName>86e171a9</UserName><Password>86e171a9</Password></PolicyDetails></RegistrationRes>