52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>03/24/2019</StartDate>
  <EndDate>04/11/2019</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>eve</Firstname>
    <Middlename/>
    <Lastname>brand</Lastname>
    <Age>39</Age>
    <Dob>08/14/1979</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/24/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>saadia Hatuka st 44 </Address1>
      <Address2>Apt 3 </Address2>
      <Country>Israel</Country>
      <State/>
      <City>yehud</City>
      <Postcode>56100</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>evebr5@gmail.com</Email>
    <Phone>
      <Home>3109533787</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>leo jeremias</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son-in-law</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371554790098005</CreditcardNumber>
      <NameonCreditcard>leo jeremias</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2024</CreditcardExpirationYear>
      <CreditcardAmount>39.52</CreditcardAmount>
      <CreditcardCodeNumber>8405</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ea0f5cf5
701931916

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701931916</PolicyNumber><UserName>ea0f5cf5</UserName><Password>ea0f5cf5</Password></PolicyDetails></RegistrationRes>