Bowflex, Selecttech, 1 bench warranty regstraton card – Bowflex SelectTech 5.1 Bench User Manual
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IMPORTANT! MAIL WITHIN 0 DAYS OF PURCHASE
PLEASE PRINT CLEARLY – THANK YOU
Bowflex
®
SelectTech
®
5.1 Bench Warranty Regstraton Card
.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.
Mr.
2. Mrs.
3. Ms.
4. Miss
Customer ID from Invoice:
Name:
Address:
Apt. #:
City:
State:
Zip:
Phone number:
-
E-Mail address:
Is this your primary address? Yes No
Place of purchase:
Date of purchase:
Purchaser date of birth:
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:
( )
M
M
D D
EXT.
M
M
D D
Y Y
Y Y