Registration-Diamondback Fitness

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In order to help us serve you better, please fill out the registration form below.
Of course, Diamondback does NOT sell your registration information to third parties and keeps all information absolutely confidential.

You are well equipped for Fitness success!

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REGISTER YOUR NEW PRODUCT FOR WARRANTY SUPPORT

Date of purchase:

/ /

What type of machine
did you purchase?

Model number:

Product serial number:

Purchased from
(dealer name):

Dealer's State:
(do not use outside the US)

Price paid:
(excluding sales tax)

Enviroment:

Reason Purchased:

TELL US ABOUT YOURSELF

Title:

Mr.

Mrs.

Ms.

Dr.

First name:

Last name:

Gender:

Male

Female

Email address:

Address 1:

Address 2:

Address 3:

City:

State:
(do not use for outside of US)

Zip/Postal code:

Country:

Daytime telephone:

( ) -

Evening telephone:

( ) -

Your date of birth:

/ /

Marital status:

Married

Single

Annual Income:

Occupation:
(check all that apply)

	You	Spouse
Housewife

Professional/Technical

Upper Management/Executive

Middle Management

Sales/Marketing

Clerical/Service Worker

Tradesman/Machine Operator/Laborer

Student

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Diamondback Bikes and Diamondback BMX Bikes