Bowflex 51370 manual Bowflex Ultimate Warranty Registration Card

Bowflex® Ultimate™ Warranty 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:
Is this your primary address?		■ Yes		■ No
Place of purchase:
Date of purchase:
	M M		D D		Y Y

State:

Apt. #:

Zip:

Purchaser date of birth:

M M D D Y Y

Gender: ■ Male ■ Female

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:
■ Under $15,000	■ $50,000 – $74,999	■ $15,000 – $24,999	■ $75,000 – $99,999
■ $25,000 – $34,999	■ $100,000 – $149,999	■ $35,000 – $44,999	■ 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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