54.221.58.28
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/06/2014</StartDate>
  <EndDate>11/30/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Youngsuk</Firstname>
    <Middlename/>
    <Lastname>Kim</Lastname>
    <Age>61</Age>
    <Dob>08/26/1953</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/06/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2-15-18 Tamazu Higashinari-ku </Address1>
      <Address2>Osaka</Address2>
      <Country>Japan</Country>
      <State></State>
      <City>Osaka</City>
      <Postcode>5370023</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>beam.me.up.scotty.0086@gmail.com</Email>
    <Phone>
      <Home>8143865508</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kiwoo Kim</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4003448278155403</CreditcardNumber>
      <NameonCreditcard>Michael S Beamer</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>411.08</CreditcardAmount>
      <CreditcardCodeNumber>585</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
99f76bdd
ARS-02-0018009
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018009</PolicyNumber><UserName>99f76bdd</UserName><Password>99f76bdd</Password></PolicyDetails></RegistrationRes>