Bowflex SBD1090 Owner's Manual page 39

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Mr. Mrs. Ms.
Name:
Address:
City:
(
Phone number:
E-Mail address:
Is this your primary address?
Place of purchase:
Date of purchase:
M M
Purchaser date of birth:
Gender: Male Female
Marital status: Married
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?
Which best describes your family income:
Under $15,000
$15,000 – $24,999
What other types of exercise equipment do you own?
Did you receive this item as a gift?
Name of original purchaser:
Original purchaser customer ID number:
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Miss
)
-
Yes No
D D Y Y
D D
M M
Single
$25,000 – $34,999
$35,000 – $49,999
Yes No
Serial #
Customer ID from Invoice
EXT.
Y Y
Yes
$50,000 – $74,999
$75,000 – $99,999
Apt. #:
State: ZIP:
No
$100,000 – $149,999
Over $150,000
if you would prefer