34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>12/23/2019</StartDate>
  <EndDate>01/02/2020</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Joel</Firstname>
    <Middlename/>
    <Lastname>VanderSpek</Lastname>
    <Age>47</Age>
    <Dob>09/02/1972</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/23/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1017 W. MOuntain St</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Glendale</City>
      <Postcode>91202</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>j_vanderspek@hotmail.com</Email>
    <Phone>
      <Home>6263183258</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName> Henry VanderSpek</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4427427060470194</CreditcardNumber>
      <NameonCreditcard>Joel VanderSpek</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>22.95</CreditcardAmount>
      <CreditcardCodeNumber>521</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
1a7672d1
802043701

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802043701</PolicyNumber><UserName>1a7672d1</UserName><Password>1a7672d1</Password></PolicyDetails></RegistrationRes>