Bowflex Xtreme; Se Home Gym Warranty Card - Nautilus Bowflex Xtreme SE Owner's Manual

Bowflex Xtreme

PLEASE PRINT CLEARLY – THANK YOU
Mr. 2. Mrs. 3.
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:
M M
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: (US dollar figures)
Under $15,000 $25,000 – $34,999
$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:
Please check here if you would prefer not to obtain information on new and interesting opportunities from other exciting companies.
SE Warranty Registration Card
®
IMPORTANT! MAIL WITHIN 30 DAYS OF PURCHASE
Ms. 4. Miss
)
-
Yes No
D D Y Y
D D Y Y
Single
$35,000 – $49,999
Yes No
Thanks for filling out this questionnaire. Your answers are important to us.
Customer ID from Invoice:
State:
EXT.
Yes No
$50,000 – $74,999
$75,000 – $99,999
Apt. #:
Zip:
$100,000 – $149,999
Over $150,000