Bowflex xtreme, Warranty registration card – Bowflex Xtreme User Manual

Page 87

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© 2006 Nautilus, Inc. All Rights Reserved.

Nautilus, Inc. World Headquarters, 16400 S.E. Nautilus Drive, Vancouver, Washington, USA 98683 1-800-NAUTILUS

Bowflex, Bowflex Xtreme, Power Rod and the Bowflex and Nautilus logos are either registered trademarks or trademarks of Nautilus, Inc.

Bowflex Xtreme

®

Warranty Registration Card

IMPORTANT! MAIL WITHIN 30 DAYS OF PURCHASE

Please check here if you would prefer not to obtain information on new and interesting opportunities from other exciting companies.

Thanks for filling out this questionnaire. Your answers are important to us.

PLEASE PRINT CLEARLY – THANK YOU

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: (US dollar figures)

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:

( )

M

M

D D

EXT.

M

M

D D

Y Y

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