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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