34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>12/28/2019</StartDate>
  <EndDate>01/04/2020</EndDate>
  <DestinationPlan>Argentina</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Edmund</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Marroquin </Lastname>
    <Age>56</Age>
    <Dob>08/29/1963</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/28/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>419 Linda Rd</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Santa Barbara</City>
      <Postcode>93109</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>emarroquinmd@yahoo.com</Email>
    <Phone>
      <Home>4159921496</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Martha Salcedo</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>372829713187005</CreditcardNumber>
      <NameonCreditcard>Edmund Marroquin</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2024</CreditcardExpirationYear>
      <CreditcardAmount>30.8</CreditcardAmount>
      <CreditcardCodeNumber>0287</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4b24cd5e
802043809

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802043809</PolicyNumber><UserName>4b24cd5e</UserName><Password>4b24cd5e</Password></PolicyDetails></RegistrationRes>