Bowflex Motivator 2 manual Bowflex Motivator 2 Home Gym Product Registration Card, Mrs Miss

Bowflex® Motivator® 2 Home Gym Product Registration Card

IMPORTANT! MAIL WITHIN 30 DAYS OF PURCHASE

PLEASE PRINT CLEARLY – THANK YOU

Mr. 2. Mrs. 3. Ms. 4. Miss Customer ID from Invoice

Name:

Address:

City:

Phone number:	(
E-Mail address:

)

-

EXT.

State:

Apt. #:

Zip:

Is this your primary address?			Yes		No
Place of purchase:
Date of purchase:
	M	M		D	D	Y Y

Purchaser date of birth:

M M

Gender: Male Female

D D

Y Y

Marital status: Married Single

Including yourself, total number of people living in your household: (Examples: 01, 02, 03 …)

Would you like to receive additional information on healthy lifestyle products?			Yes	No
Which best describes your family income: (US dollar figures)
Under $15,000	$25,000 – $34,999	$50,000 – $74,999		$100,000 – $149,999
$15,000 – $24,999	$35,000 – $49,999	$75,000 – $99,999		Over $150,000

What other types of exercise equipment do you own?

Did you receive this item as a gift? Yes No

Name of original purchaser:

Original purchaser customer ID number:

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not to obtain information on new and interesting opportunities from other exciting companies.

© 2005, Nautilus Inc. All Rights Reserved. 16400 SE Nautilus Drive, Vancouver, Washington, USA 98683. Bowflex, and Motivator are registered trademarks of Nautilus Inc.