54.83.122.65
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>07/29/2015</StartDate>
  <EndDate>08/07/2015</EndDate>
  <DestinationPlan>Israel</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>benzion</Firstname>
    <Middlename/>
    <Lastname>zablotzky</Lastname>
    <Age>36</Age>
    <Dob>12/21/1978</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>henny</Firstname>
    <Middlename/>
    <Lastname>zablotzky</Lastname>
    <Age>35</Age>
    <Dob>02/19/1980</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>devorah</Firstname>
    <Middlename>t</Middlename>
    <Lastname>zablotzky</Lastname>
    <Age>15</Age>
    <Dob>06/05/2000</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>yehoshua </Firstname>
    <Middlename>a</Middlename>
    <Lastname>zablotzky</Lastname>
    <Age>12</Age>
    <Dob>08/17/2002</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/29/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1441 41st street</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>brooklyn</City>
      <Postcode>11218</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>henny@zionjudaica.com</Email>
    <Phone>
      <Home>7188536346</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>372585439232000</CreditcardNumber>
      <NameonCreditcard>benzion  zablotzky</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>45.0</CreditcardAmount>
      <CreditcardCodeNumber>8462</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4e8eebf3
7bcc9f6c
20c50561
cb6e155f
ARS-01-0022257
ARS-01-0022258
ARS-01-0022259
ARS-01-0022260
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0022257</PolicyNumber><UserName>4e8eebf3</UserName><Password>4e8eebf3</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0022258</PolicyNumber><UserName>7bcc9f6c</UserName><Password>7bcc9f6c</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0022259</PolicyNumber><UserName>20c50561</UserName><Password>20c50561</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0022260</PolicyNumber><UserName>cb6e155f</UserName><Password>cb6e155f</Password></PolicyDetails></RegistrationRes>