34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/20/2017</StartDate>
  <EndDate>11/27/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Nedra</Firstname>
    <Middlename>W</Middlename>
    <Lastname>Weinreich</Lastname>
    <Age>49</Age>
    <Dob>03/31/1968</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/20/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Shachal 75/20</Address1>
      <Address2/>
      <Country>Israel</Country>
      <State/>
      <City>Jerusalem</City>
      <Postcode>9372114</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>nedraweinreich@gmail.com</Email>
    <Phone>
      <Home>972584423248</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Gil Weinreich</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4580121181098520</CreditcardNumber>
      <NameonCreditcard>Nedra  Weinreich</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>19.6</CreditcardAmount>
      <CreditcardCodeNumber>890</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f3d68899
ARS-02-0037944
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0037944</PolicyNumber><UserName>f3d68899</UserName><Password>f3d68899</Password></PolicyDetails></RegistrationRes>