34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>03/27/2017</StartDate>
  <EndDate>04/12/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Rochelle</Firstname>
    <Middlename/>
    <Lastname>Windman</Lastname>
    <Age>23</Age>
    <Dob>05/11/1993</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/27/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Rehov Rivka 12 Building Daled</Address1>
      <Address2>Apartment 24</Address2>
      <Country>Israel</Country>
      <State/>
      <City>Jerusalem</City>
      <Postcode>24</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>rwindman523@gmail.com</Email>
    <Phone>
      <Home>16673091598523</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202209801875</CreditcardNumber>
      <NameonCreditcard>Michael  Windman</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>40.46</CreditcardAmount>
      <CreditcardCodeNumber>356</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
01a92b03
ARS-02-0032865
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0032865</PolicyNumber><UserName>01a92b03</UserName><Password>01a92b03</Password></PolicyDetails></RegistrationRes>