form code is License Renewal
form record type is MEMBER
form id is 861136
membership id is 0
session timeout set to 60
system date/time type set to 11/4/2025 2:41:13 PM
display type set to TABLE
form start set to 10/1/2024 7:30:00 AM
form end set to 12/31/2024 11:59:00 PM
IP address is 216.73.216.121