Home Gym Warranty Card - Bowflex Xtreme 2 SE Owner's Manual

Bowflex
PLEASE PRINT CLEARLY – THANK YOU
Mr. 2. Mrs. 3. Ms.
Name:
Address:
City:
Phone number: (
E-Mail address:
Is this your primary address?  Yes  No
Place of purchase:
Date of purchase:
M M D D
Purchaser date of birth:
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:
 Under $15,000  $25,000 – $34,999
 $15,000 – $24,999  $35,000 – $49,999
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:
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.
© 2004, The Nautilus Group, Inc. 16400 SE Nautilus Drive, Vancouver, WA 98683.
Bowflex, Nautilus and the Bowflex and Nautilus logos are registered trademarks of Nautilus Inc.
XTREME 2 Home Gym Warranty Registration Card
® ®
IMPORTANT! MAIL WITHIN 30 DAYS OF PURCHASE
4. Miss
) -
Y Y
D D Y Y
Customer ID from Invoice
X
 $50,000 – $74,999
 $75,000 – $99,999
Apt. #:
State: Zip:
 $100,000 – $149,999
 Over $150,000
11673 BX2 (03/2004
)