Bowflex Xtreme Assembly and Owners Manual - Page 87

Bowflex Xtreme® Warranty Registration Card IMPORTANT! MAIL WITHIN 30 DAYS OF PURCHASE PLEASE PRINT CLEARLY - THANK YOU Mr. 2. Mrs. 3. Ms. 4. Miss Customer ID from Invoice: Name: Address: Apt. #: City: Phone number: ( ) - EXT. E-Mail address: State: Zip: Is this your primary address? Yes No Place of purchase: Date of purchase: M M D D Purchaser date of birth: M M D D Y Y 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 $15,000 - $24,999 $35,000 - $49,999 $75,000 - $99,999 $100,000 - $149,999 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. © 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.