Name:  ________________________________    Team #:____________ (blank if new member) Address:  ______________________________                  ______________________________                  ______________________________ Phone: (Home) __________________________     (Wk) __________________________ Fax #:   ________________________________ E Mail Address:   ________________________ Military or DOD:   Yes________    No________ R&W card #:__________ or enclose $7.00 check payable to NIH R&W New member: _________ Renewing member: _________ Please enclose check for $30.00 dues payable to NIHGA. NOTE:  Send SEPARATE checks for R&W and NIHGA.  Thanks. If unable to retrieve League information by E-Mail, please include $4.00 to cover postage or enclose 10 self addressed, stamped envelopes. RENEWING MEMBERS:  SEND YOUR NIHGA DUES AND R&W FEE TO YOUR TEAM CAPTAIN. OR NEW MEMBERS: PLEASE, SEND THIS APPLICATION TO:             Howard Somers             503 Goldsborough Drive             Rockville, MD 20850