Player Name
Player Email
Character Name
Influence Used
*Pick One*
Bureaucracy
Church
Finance
Health
High Society
Industry
Legal
Media
Occult
Police
Politics
Street
Transportation
Underworld
University
Action
Utilize
Seek/Watch
Seek/Trace
Seek/Follow
Attack
Defend
Hide
Block
Boost
*Pick One*
Grow
Action Style
Direct Action
Indirect Action
# of Traits Spent
*How Many?*
1
2
3
4
5
6+ (explanation required)
Story/Explanation
***Erase this Text before submitting - What goes here: 1. Story for any Use actions for growth. 2. Explanation of what you are intending to do with the influence. 3. Any additional info needed to explain multiple influence actions such as a boost from another influence sphere or PC. For multiple actions, please fill out another form. ***
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