Tell US about Your NEW Precor Product

Date of

Purchase:

Month

Purchased from:

Product

Serial

Number:

Day

Year

The serial number is located on the shipping box and on the product.

Dealer Name

Please indicate the type of product purchased:
❑	Elliptical Fitness CrossTrainerTM (EFX®)	❑	StretchTrainerTM
❑	Treadmill	❑	Cycle
❑	Strength Training System	❑	Stair Climber

TELL US ABOUT YOU

❑ Mr.
❑ Mrs.
❑ Ms.	Middle Initial	Last Name
First Name	Middle Initial	Last Name

Street Address

Apt./Suite:

City

State

Zip Code

Area Code

Telephone

Your Email Address

Gender:

Marital status:

Age:

Annual household income:

What are your fitness goals?

❑ Male

❑ Married

❑ Under 18

❑ Under $50,000

❑ Weight loss/management

❑ Female

❑ Divorced

❑ 18-24

❑ $51,000-75,000

❑ Muscle tone enhancement

❑ Widowed

❑ 25-34

❑ $76,000-100,000

❑ Cardiovascular improvement

❑ Never been married

❑ 35-44

❑ $101,000-150,000

❑ Overall health

❑ 45-54

❑ $151,000+

❑ Increase energy and flexibility

❑ 55-64

❑ Stress reduction

❑ 65+

❑ Rehabilitation

❑ Other

TELL US ABOUT YOUR PURCHASE

Purchase (check all that apply):

How did you FIRST become aware of Precor

❑ First Precor product

products (choose only one):

❑ Replaces a Precor product of the same type

❑ A gift

❑ Replaces same type of product – different brand

❑ Friend/relative

❑ Addition to equipment currently owned

❑ Physician

❑ Fitness club

What factors MOST influenced your decision to

❑ Internet

purchase your Precor product (choose up to three):

❑ News report or product review

Please detach and mail in the warranty registration within ten days of purchase.

❑ Precor reputation	❑ Rebate or sale price	❑ Magazine advertisement or article
❑ Prior use of Precor product(s)	❑ Quality/durability	❑ Print advertisement
❑ Design/appearance	❑ Warranty	❑ In-store display or demonstration
❑ Special product features	❑ Value for the price	❑ Other
❑ Physician recommendation

Effective 28 June 2004 P/N 45623-102