52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>06/15/2017</StartDate>
  <EndDate>12/31/2017</EndDate>
  <DestinationPlan>Israel</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Aliza</Firstname>
    <Middlename/>
    <Lastname>Howitt</Lastname>
    <Age>27</Age>
    <Dob>04/16/1990</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/15/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>12-09 Bellair Ave</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New Jersey</State>
      <City>Fair Lawn</City>
      <Postcode>07410</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>aliza.howitt@gmail.com</Email>
    <Phone>
      <Home>2012909582</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Doran Howitt</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Discover</CreditcardType>
      <CreditcardNumber>6011208927507981</CreditcardNumber>
      <NameonCreditcard>Doran Howitt</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>209.0</CreditcardAmount>
      <CreditcardCodeNumber>309</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
982e5af1
ARS-01-0034895
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0034895</PolicyNumber><UserName>982e5af1</UserName><Password>982e5af1</Password></PolicyDetails></RegistrationRes>