Bowflex BD1090 manual Bowflex SelectTech Dumbbells Warranty Registration Card

Bowflex® SelectTech® Dumbbells Warranty Registration Card

IMPORTANT! MAIL WITHIN 30 DAYS OF PURCHASE

PLEASE PRINT CLEARLY – THANK YOU

Serial #

Mr.	Mrs.
Name:
Address:
City:
Phone number:		(
E-Mail address:

Ms. Miss

)

-

Customer ID from Invoice

State:

EXT.

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

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		$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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© 2006, Nautilus Inc. All Rights Reserved. 16400 SE Nautilus Drive, Vancouver, WA 98683. Bowflex, and SelectTech logos are either registered trademarks or trademarks of Nautilus Inc. 17241 Rev AA (03/04) Nautilus Inc.