Activeforever Aquabilt Aquatic Treadmill - Manual (Page 5)

UPGRADE YOUR WARRANTY
We truly appreciate you have chosen an Aquabilt product and are confident that it will help you achieve
your fitness goals. Your standard Aquabilt Warranty is 1 year. To upgrade your Warranty to 5 years
FREE OF CHARGE, please complete and return this form to the address below within 1 year of
purchase.
Product Model ___________ Product Serial Number ___________ Date of Purchase ___________
Dealer Name _________________________
Dealer Name ___________________ Dealer City _________________ Dealer State ___________
First Name _______________________ Last Name _____________________ Gender __________
Address ____________________________________________________________________________
City _________________________________ State _________ Zip Code ____________________
Country _____________________________
Email ________________________________ Phone _____________________ Age ___________
Where did you learn about Aquabilt?

Current Owner  Word of Mouth  Personal Trainer  Health Club  Flyer / Mail
 Magazine  Internet / Web Site  Other ________________________
Do you recall a magazine you saw information about Aquabilt?

Shape  Fitness  Runner's World  Fit Pregnancy  Men's Health
 The Wall Street Journal  Other _______________________
Do you own other brands of fitness equipment?

Precor  Schwinn  Vision  True  Cybex  Landice  Pace Master
 StairMaster  Other _______________________
Why did you choose to purchase Aquabilt equipment? (please choose up to two answers)
 Dealer Recommendation  Value  Friend / Family Recommendation  Styling
 Reputation  Price  Quality  Other _______________________
What are your fitness goals? (please choose up to two answers)
 Lose/Maintain Weight  Overall Better Health  Improve Muscle Tone
 Improve Cardiovascular Endurance  Stress Relief  Injury Rehabilitation
 Increased Energy  Other _______________________
How many days a week do you exercise with fitness equipment?
 5-7  2-4  0-1
Are you an active member of a health club?
 Yes  No
Do you actively participate in any of the following activities? (please choose all that apply)
 Golf  Fishing  Running  Skiing  Hiking  Biking  Bowling
 Boating  Tennis
Mail to:
Aquabilt, LLC
PO Box 127, Canton, CT, 06019