Bowflex Revolution®  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

 

 

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: (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.

©2005. Nautilus, Inc. All rights reserved. Nautilus, Bowflex, the Bowflex logo, Bowflex Revolution and Power Rod are either registered trademarks or trademarks of Nautilus, Inc. All other trademarks are owned by their respective companies.

Nautilus, Inc., World Headquarters, 16400 SE Nautilus Drive, Vancouver, WA 98683  1-800-NAUTILUS  www.nautilus.com

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Bowflex manual Bowflex Revolution Warranty Registration Card, IMPORTANT! Mail Within 30 Days of Purchase