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>02/20/2018</StartDate>
  <EndDate>02/26/2018</EndDate>
  <DestinationPlan>Israel</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Israel</Firstname>
    <Middlename/>
    <Lastname>Hakalir</Lastname>
    <Age>66</Age>
    <Dob>10/25/1951</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/20/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1040 Dartmouth Ln.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Woodmere</City>
      <Postcode>11598</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ihakalir@yahoo.com</Email>
    <Phone>
      <Home>9173744340</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Sheila Klein-Hakalir</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202096264203</CreditcardNumber>
      <NameonCreditcard>Israel  Hakalir</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>27.16</CreditcardAmount>
      <CreditcardCodeNumber>157</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
51f161c9
ARS-01-0039430
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0039430</PolicyNumber><UserName>51f161c9</UserName><Password>51f161c9</Password></PolicyDetails></RegistrationRes>