54.86.99.59
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>04/09/2016</StartDate>
  <EndDate>06/09/2016</EndDate>
  <DestinationPlan>Korea (South)</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Robert</Firstname>
    <Middlename>V</Middlename>
    <Lastname>Steele</Lastname>
    <Age>55</Age>
    <Dob>06/09/1960</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/09/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>12590 Stone Valley Loop</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Fort Myers</City>
      <Postcode>33913</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dclem@aglobalconstruction.com</Email>
    <Phone>
      <Home>7038610398</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202188783078</CreditcardNumber>
      <NameonCreditcard>Donald E Clem</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>239.32</CreditcardAmount>
      <CreditcardCodeNumber>628</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f6a764ed
ARS-01-0025932
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0025932</PolicyNumber><UserName>f6a764ed</UserName><Password>f6a764ed</Password></PolicyDetails></RegistrationRes>