54.89.137.34
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>07/02/2015</StartDate>
  <EndDate>07/09/2015</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ofir</Firstname>
    <Middlename/>
    <Lastname>Tomer</Lastname>
    <Age>30</Age>
    <Dob>08/23/1984</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Aniell</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Tomer</Lastname>
    <Age>29</Age>
    <Dob>02/02/1986</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/02/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>12 Cedar Drive</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>Stony Brook</City>
      <Postcode>11790</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>tomofi@gmail.om</Email>
    <Phone>
      <Home>7175124385</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4640182088711589</CreditcardNumber>
      <NameonCreditcard>Ofir Tomer</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>14.8</CreditcardAmount>
      <CreditcardCodeNumber>755</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
262130c4
b656aa61
ARS-01-0021954
ARS-01-0021955
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0021954</PolicyNumber><UserName>262130c4</UserName><Password>262130c4</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0021955</PolicyNumber><UserName>b656aa61</UserName><Password>b656aa61</Password></PolicyDetails></RegistrationRes>