______________________________________________________________
Your Name
______________________________________________________________
Address
Apt. #
______________________________________________________________
City
______________________________________________________________
State
Zip
Code
Phone Number: ________________________________________________
Email Address:_________________________________________________
PRODUCT INFORMATION
Model:________________________________________________________
Product Type:__________________________________________________
(Home Gym, Upright Bike, Free Weight etc.)
Serial Number:_________________________________________________
Date of Purchase:_______________________________________________
(Month / Day / Year)
Purchased From:_______________________________________________
(Retailer Name)
Address: ______________________________________________________
How did you learn about our products?
1.
□
Recommendation of personal trainer
2.
□
Recommendation of retail salesperson
3.
□
Recommendation of friend / relative
4.
□
Article in magazine / newspaper
5.
□
Internet
6.
□
TV / radio
7.
□
other:______________________________________________________
Please note all factors that influenced your product purchase
1.
□
Valued priced
5.
□
Strength training
2.
□
Quality / durability
6.
□
Cardiovascular fitness
3.
□
Brand name
7.
□
Weight loss
4.
□
Design / look / feel
8.
□
Home fitness convenience
Rate the overall in-home assembly of the product
□
Fair
□
Average
□
Excellent
Rate the satisfaction with the retailer from which you purchased your product
□
Fair
□
Average
□
Excellent
What other types of exercise equipment do you own?
1.
□
Treadmill
5.
□
Upright bike
2.
□
Stepper
6.
□
Recumbent bike
3.
□
Elliptical
7.
□
Free weights
4.
□
Home Gym
8. Other:____________________________
What product features / functions are most important to you?
1.
□
Heart rate monitoring
6.
□
Design / appearance
2.
□
Multiple user programs
7.
□
Ease of assembly
3.
□
Ease of use
8.
□
Warranty & service
4.
□
Quality / durability
9.
□
Brand recognition
5.
□
Comfort / fit / feel
10. Other:___________________________
How many times a week do you exercise?
□
1-2 times
□
3-4 times
□
4-5 times
□
6-7 times
What is the duration of your workout?
□
20-30 minutes
□
1-2 hours
□
2 hours or more
Age Group
□
18-25
□
26-35
□
36-45
□
46-55
□
56-65
□
66 & older
Pleas
e C
ut Along This
Li
ne
Thank you for purchasing a LAMAR Health, Fitness & Sports, LLC product. Our products are designed and manufactured
to the highest quality standards. We are committed to our customers satisfaction and we will do everything we can under the
conditions of your product warranty to keep you secure in your product purchase. To help us serve you better, please fill out
this Product Registration form & return it to us within 30-days of product purchase.
Send completed registration form to:
LAMAR Health, Fitness & Sports, LLC
4699 Nautilus Court South #205
Boulder, Colorado 80301.
Thank you ! We appreciate your response. The information provided on this questionnaire is used exclusively by LAMAR
Health, Fitness & Sports, LLC and will not be distributed to any other individuals or agencies regardless of purpose.
Safety Recommendations: Consult a physician or health professional before starting any type of exercise program. Warm up
and stretch before staring a exercise routine. Inspect your product for proper assembly. Make sure all hardware is tightened
appropriately. Check cables and all moving parts for smooth movement and full range of motion. If you are unsure of proper
use of your purchased product, contact a local retailer or call us for instruction. Equipment is not designed for the use of
children or minors. Failure to follow or apply these suggested safety tips may result in serious injury.
P
RODUCT
REGISTRATION
P
AGE
12
