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>06/25/2018</StartDate>
  <EndDate>07/24/2018</EndDate>
  <DestinationPlan>Israel</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>David</Firstname>
    <Middlename/>
    <Lastname>Gagne</Lastname>
    <Age>26</Age>
    <Dob>07/19/1991</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/25/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>74 Lilac Lane</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Vermont</State>
      <City>South Burlington</City>
      <Postcode>05403</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dlgagne21@gmail.com</Email>
    <Phone>
      <Home>8023387754</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4435890012181757</CreditcardNumber>
      <NameonCreditcard>David  Gagne</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>31.35</CreditcardAmount>
      <CreditcardCodeNumber>040</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
1a51f55e
ARS-01-0042148
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0042148</PolicyNumber><UserName>1a51f55e</UserName><Password>1a51f55e</Password></PolicyDetails></RegistrationRes>