Check Draft Authorization Form

By completing and submitting the form below you authorize a check draft authorization to ALAN COSENS for a one-time payment of $1,000 USD for the Genesis Elite Library, and you acknowledge that you have read and agree to the No-Refund policy as posted within your Exitus Elite member area.

Here is a reference check if you need assistance identifying the necessary items:

Complete and submit this form to authorize your check draft:

PAY TO:  ALAN COSENS

AMOUNT:  $1,000.00 USD

Alan Cosens

PO Box 2187

Goodlettsville, TN 37072

1.615.285.9771

Your purchase of the Genesis Elite digital library via the draft authorization form is non-refundable for any reason. Instances of attempted bank fraud or use of false banking information will be prosecuted. ALAN COSENS and AlanCosens.com disclaims all liability for any incorrect, false or fraudulent data input to the authorization form above, regardless of intent of the submitter.