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Bowflex
Gym Style Ab Crunch Station Warranty Registration Card
®
IMPORTANT! MAIL WITHIN 0 DAYS OF PURCHASE
PLEASE PRINT CLEARLY – THANK YOU
Mr.
2. Mrs.
3. Ms.
4. Miss
Customer ID from Invoice:
Name:
Address:
Apt. #:
City:
State:
Zip:
(
)
Phone number:
-
EXT.
E-Mail address:
Is this your primary address? Yes
No
Place of purchase:
Date of purchase:
D D
M M
Y Y
Purchaser date of birth:
D D
Y Y
M M
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:
.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.
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