Bowflex manual Bowflex Blaze Home Gym Warranty Registration Card

Bowflex® Blaze™ Home Gym 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:

)

-

EXT.

State:

Apt. #:

Zip:

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

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: (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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©2006, Nautilus Inc. All Rights Reserved. 16400 SE Nautilus Dr., Vancouver, Washington, USA 98683. Bowflex, Blaze, Power Rod and the Bowflex and Nautilus logos are either registered trademarks or trademarks of Nautilus Inc.