Bowflex, Treadclimber, Product registration card – Bowflex TC5300 User Manual

Page 73

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Bowflex

®

TreadClimber

®

Product Registration Card

IMPORTANT! MAIL WITHIN 30 DAYS OF PURCHASE

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.

PLEASE PRINT CLEARLY – THANK YOU

1.

■

Mr. 2.

■

Mrs. 3.

■

Ms.

4.

■

Miss

Customer ID from Invoice

Name:

Address:

Apt. #:

City:

State:

Zip:

Phone number:

–

E-Mail address:

Is this your primary address?

■

Yes

■

No

Place of purchase:

Date of purchase:

Purchaser date of birth:

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:

■

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:

© 2007. Nautilus Inc. All Rights Reserved. Bowflex and TreadClimber are registered trademarks of Nautilus, Inc.

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