5th Serbian Conference on Spectral Line Shapes in Astrophysics (Vrsac, Serbia, June 06-10, 2005) REGISTRATION FORM First Name: Family Name: Degree: Institution: Address: E-mail: Phone: Fax: Title of contribution: Authors: Abstract: I propose the contribution as: (put one of this options: IL - invited lecture; ST -short talk; P -poster) Need help in Hotel reservation (Yes/No): Need financial support (Yes/No): Need invitation letter (Yes/No): Send the form to the following e-mails: dilic@matf.bg.ac.yu lpopovic@aip.de mdimitrijevic@aob.bg.ac.yu Your registration will be confirmed by email when we receive this form. LOC