Bowflex® XTREME®2 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: | ( |
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X
State:
Apt. #:
Zip:
Is this your primary address? Yes | No |
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Place of purchase: |
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Date of purchase: |
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| M M | D | D |
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Purchaser date of birth: |
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M M |
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Gender: Male | Female |
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Marital status: | Married Single |
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Including yourself, total number of people living in your household: (Examples: 01, 02, 03 …) |
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Would you like to receive additional information on healthy lifestyle products? Yes No |
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Which best describes your family income: |
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Under $15,000 | $25,000 – $34,999 |
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| $50,000 – $74,999 |
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| $100,000 – $149,999 | ||||||||||||||||||||
$15,000 – $24,999 | $35,000 – $49,999 |
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| $75,000 – $99,999 |
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| 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, The Nautilus Group, Inc. 16400 SE Nautilus Drive, Vancouver, WA 98683. | ) |
Bowflex, Nautilus and the Bowflex and Nautilus logos are registered trademarks of Nautilus Inc. | 11673 BX2 (03/2004 |