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>12/04/2018</StartDate>
  <EndDate>12/19/2018</EndDate>
  <DestinationPlan>Viet Nam</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Manuel</Firstname>
    <Middlename>T</Middlename>
    <Lastname>Montenegro </Lastname>
    <Age>63</Age>
    <Dob>09/03/1955</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/04/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>19305 40th ave W</Address1>
      <Address2>Apt F6</Address2>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Lynnwood </City>
      <Postcode>98036</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>m_montenegro_s@hotmail.com</Email>
    <Phone>
      <Home>4254714507</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Manuel A Montenegro </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4701441000318766</CreditcardNumber>
      <NameonCreditcard>Pottery Land LLC</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>52.0</CreditcardAmount>
      <CreditcardCodeNumber>267</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
610d9b36
701825922

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701825922</PolicyNumber><UserName>610d9b36</UserName><Password>610d9b36</Password></PolicyDetails></RegistrationRes>