Bowflex ElitePlus manual Bowflex Elite Home Gym Warranty Registration Card

Bowflex® Elite™ 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:

Thanks for filling out this questionnaire. Your answers are important to us. Please check here if you would prefer

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

©2004, Nautilus Inc. All Rights Reserved. 1400 N.E. 136th Ave., Vancouver, WA 98684. Bowflex, Bowflex Elite, Power Rod and the Bowflex and Nautilus logos are either registered trademarks or trademarks of Nautilus Inc.