146.20.67.235
<?xml version="1.0" encoding="UTF-8"?><RegistrationXML><Token>0beaab4d199f3e0b201819cf4a78507d</Token><ReferenceId>ec10cffd</ReferenceId><PlanId>1</PlanId><UserIp>74.88.98.82</UserIp><DeductibleAmount>250</DeductibleAmount><MaximumLimit>25000</MaximumLimit><StartDate>06/10/2023</StartDate><EndDate>06/16/2023</EndDate><NoOfApplicants>1</NoOfApplicants><DestinationPlan>Peru</DestinationPlan><PersonalInfo><Applicants><Applicant><Firstname>Robert</Firstname><Middlename></Middlename><Lastname>Polakoski</Lastname><Dob>05/05/1952</Dob><PassportNumber>567481578</PassportNumber><Gender>Male</Gender><SportsRider>no</SportsRider></Applicant></Applicants></PersonalInfo><DepartureInfo><HomeCountryDepartureDate>06/10/2023</HomeCountryDepartureDate></DepartureInfo><ApplicantAddress><MailForwardingAddress><MailingName>Robert Polakoski</MailingName><Address1>12 SPRING RD</Address1><Address2></Address2><Country>United States</Country><State>NJ</State><City>LK HOPATCONG</City><Postcode>07849-1734</Postcode></MailForwardingAddress><ResidenceAddress><Address1>12 Spring Road</Address1><Address2></Address2><Country>United States</Country><State>NJ</State><City>Lake Hopatcong</City><Postcode>07849</Postcode></ResidenceAddress><BillingAddress><BillingAddress1>12 Spring Road</BillingAddress1><BillingAddress2></BillingAddress2><BillingCountry>United States</BillingCountry><BillingState>NJ</BillingState><BillingCity>Lake Hopatcong</BillingCity><BillingPostcode>07849</BillingPostcode></BillingAddress><Phone><Phone1>+1-8185230505</Phone1></Phone><Email>planes74@aol.com</Email></ApplicantAddress><Beneficiary><AdDBeneficiaryName>David Polakoski</AdDBeneficiaryName><AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship></Beneficiary><CitizenshipCountry>United States</CitizenshipCountry><CourierCharges>no</CourierCharges><PaymentMethod><CreditCard><CreditcardType>Visa</CreditcardType><CreditcardNumber>4535060294275052</CreditcardNumber><Nameoncreditcard>Robert Polakoski</Nameoncreditcard><CreditcardExpirationMonth>2</CreditcardExpirationMonth><CreditcardExpirationYear>2028</CreditcardExpirationYear><CreditcardAmount>37.24</CreditcardAmount><CreditcardCodeNumber>054</CreditcardCodeNumber></CreditCard></PaymentMethod></RegistrationXML>
------------Response---------------
13c33bcf
691802190966

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>ec10cffd</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>691802190966</PolicyNumber><UserName>13c33bcf</UserName><Password>13c33bcf</Password></PolicyDetails></RegistrationRes>