Precor 5.17i, 5.19, 5.21i TELL US ABOUT YOUR NEW PRECOR PRODUCT, TELL US ABOUT YOU, TELL US ABOUT YOUR PURCHASE

Please detach and mail in the warranty registration within ten days of purchase.
Effective 28 June 2004
P/N 45623-102
TELL US ABOUT YOUR NEW PRECOR PRODUCT
Purchased
from:
Please indicate the type of product purchased:
❑Elliptical Fitness CrossTrainer (EFX®)
❑Treadmill
❑Strength Training System
TELL US ABOUT YOU
Date of
Purchase:
❑Mr.
❑Mrs.
❑Ms. First Name
Apt./Suite:
TELL US ABOUT YOUR PURCHASE
❑StretchTrainerTM
❑Cycle
❑Stair Climber
Middle Initial Last Name
Street Address
Zip CodeCity State
Gender: Marital status: Age:Annual household income: What are your fitness goals?
❑Male ❑Married ❑Under 18 ❑Under $50,000 ❑Weight loss/management
❑Female ❑Divorced ❑18-24 ❑$51,000-75,000 ❑Muscle tone enhancement
❑Widowed ❑25-34 ❑$76,000-100,000 ❑Cardiovascular improvement
❑Never been married ❑35-44 ❑$101,000-150,000 ❑Overall health
❑45-54 ❑$151,000+ ❑Increase energy and flexibility
❑55-64 ❑Stress reduction
❑65+ ❑Rehabilitation
❑Other
Purchase (check all that apply): How did you FIRST become aware of Precor
❑First Precor product products (choose only one):
❑Replaces a Precor product of the same type ❑A gift
❑Replaces same type of product – different brand ❑Friend/relative
❑Addition to equipment currently owned ❑Physician
❑Fitness club
What factors MOST influenced your decision to ❑Internet
purchase your Precor product (choose up to three): ❑News report or product review
❑Precor reputation ❑Magazine advertisement or article
❑Prior use of Precor product(s) ❑Print advertisement
❑Design/appearance ❑In-store display or demonstration
❑Value for the price ❑Other
❑Special product features
❑Rebate or sale price
❑Quality/durability
❑Warranty
❑Physician recommendation
Month Day Year
Your Email Address
Area Code Telephone
Dealer Name
The serial number is located on the shipping box and on the product.
Product
Serial
Number: