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>06/26/2019</StartDate>
  <EndDate>07/09/2019</EndDate>
  <DestinationPlan>Israel</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Roset </Firstname>
    <Middlename>N</Middlename>
    <Lastname>Hendizadeh</Lastname>
    <Age>67</Age>
    <Dob>06/15/1952</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/26/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>21 Hartley Road </Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Great Neck </City>
      <Postcode>11023</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>rosett615@aol.com</Email>
    <Phone>
      <Home>2038209191</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Pegah Rosenthal</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>377277240591023</CreditcardNumber>
      <NameonCreditcard>Pegah Rosenthal </NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>54.32</CreditcardAmount>
      <CreditcardCodeNumber>2938</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
70f0625e
701937524

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701937524</PolicyNumber><UserName>70f0625e</UserName><Password>70f0625e</Password></PolicyDetails></RegistrationRes>