Product Registration

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1. 1

   Date of Purchase

   • Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 *
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   • Month January February March April May June July August September October November December *
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   • Year 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 *
2. 2

   Product Information

   Life Fitness Cardio Elliptical Cross-Trainers NEW X3 Elliptical Cross-Trainer Track Elliptical Go Elliptical X8 Elliptical Cross-Trainer Basic Workouts Elliptical Advanced Workouts Elliptical Club Series Elliptical Cross-Trainer Club Series Elliptical NEW X1 Elliptical Cross-Trainer Go X1 Elliptical Track Elliptical NEW X5 Elliptical Cross-Trainer Track Elliptical Go Elliptical Lifecycle Exercise Bikes Club Series Upright Lifecycle Club Series Upright Bike NEW R1 Lifecycle Go C1 R1 Bike Track Bike NEW R3 Lifecycle Track Bike Go Bike Club Series Recumbent Lifecycle Club Series Recumbent Bike NEW C1 Lifecycle Go C1 R1 Bike Track Bike NEW C3 Lifecycle Track Bike Go Bike Platinum Club Series Upright Lifecycle Achieve LED Bike Inspire 7" Bike Engage 15" Bike Platinum Club Series Recumbent Lifecycle Achieve LED Bike Inspire 7" Bike Engage 15" Bike Summit Trainers 95Li 95Li Treadmills F1 Smart Treadmill F1 Smart Treadmill NEW F3 Treadmill Track Treadmill Go Treadmill Platinum Club Treadmill Achieve LED Treadmill Inspire 7" Treadmill Engage 15" Treadmill Club Series Treadmill Club Series Treadmill T7-0 Treadmill T7-0 Treadmill T5-0 Treadmill T5-0 Treadmill NEW T3 Treadmill Track Treadmill Go Treadmill T5-5 Treadmill T5-5 Treadmill Fitness Accessories Body Shape Kits Body Shape Kit Plus Body Shape Kit Strength Home Gyms G4 Home Gym G3 Home Gym G7 Home Gym G2 Home Gym G5 Home Gym Brand* Product Type* Product* Console Product Serial Number*

3. 3

   Dealer Information

   • Dealer*
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   • Dealer City*
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   • Dealer State*
4. 4

   Your Information

   • First Name*
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   • Last Name*
   • Address*
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   • ZIP / Postal Code*
   • County*
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   • Country USA Canada Argentina Australia Austria Bahrain Bangladesh Belgium Bolivia Bosnia Brazil Brunei Bulgaria Caribbean Chile China Colombia Costa Rica Croatia Cyprus Czech Republic Denmark Ecuador Egypt El Salvador Estonia Ethiopia Finland France Germany Ghana Greece Guatemala Herzegovina Honduras Hong Kong Hungary Iceland India Indonesia Israel Italy Japan Jordan Kazakhstan Kenya Korea Kuwait Latvia Lebanon Libya Lithuania Luxembourg Malaysia Malta Mexico Montenegro Morocco Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Saudi Arabia Serbia Singapore Slovakia Slovenia South Africa Spain Sweden Switzerland Taiwan R.O.C. Thailand Turkey Ukraine United Arab Emirates United Kingdom Uruguay Venezuela Vietnam Yemen

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