18th International Conference “Spectral Line Shapes” Auburn, AL, USA, 5 – 9 June, 2006 REGISTRATION FORM Name: Affiliation: Mailing Address: E-mail address: FAX: Phone(s): If you intend to submit a paper, please enter its (tentative) title: Your preference - a poster or a short oral presentation: REGISTRATION FEE: Before March 10/06 - $325 by check (or by money order) or $339 by credit card. After March 10/06 - $400 by check (or by money order) or $416 by credit card. If paying by check/money order – please make it payable to “Conference Spectral Line Shapes” and mail it to the Conference Secretary: Melanie Woods 206 Allison Lab Auburn, AL 36849 USA If paying by credit card, you could: - either tell your credit card info over the phone to Melanie Woods at (334) 844-4264, - or enter your credit card info below and then e-mail this Registration Form to Melanie Woods (as an attached file) or fax it to her at (334) 844-4613. Credit card type (Visa or MasterCard): Account number: Expiration (mm/yy): Security code: Signature: