34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>11/29/2017</StartDate>
  <EndDate>12/04/2017</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jeramie</Firstname>
    <Middlename/>
    <Lastname>Rivette</Lastname>
    <Age>40</Age>
    <Dob>01/12/1977</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/29/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>10036 Barwood Drive</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Texas</State>
      <City>Houston</City>
      <Postcode>77043</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mat.bateman@keelsonmarineassurance.com</Email>
    <Phone>
      <Home>3375011098</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4504673720625448</CreditcardNumber>
      <NameonCreditcard>Mathew Bateman</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>13.5</CreditcardAmount>
      <CreditcardCodeNumber>956</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
96c4c90c
ARS-01-0038052
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0038052</PolicyNumber><UserName>96c4c90c</UserName><Password>96c4c90c</Password></PolicyDetails></RegistrationRes>