Ordo Dracul Sanctum
ORDO DRACUL SANCTUM COVEN APPLICATION
Below you will find the Application form to become a member of Ordo Dracul Sanctum. All fields denoted with a () are required information. Please only press the Embrace Me button once.
APPLICATION FORM
Your Real Name:
Your Age:
E-mail Address:
Location: (i.e. City and State or Province or Country)
What is the best time to contact you online?
Your Time Zone:
Instant Messenger Details (Y!M, MSN, AIM ICQ): *Please specify at least 1 of these*
MSN or Windows Messenger Screen Name:
Y!M (Yahoo) Screen Name:
AIM Screen Name:
ICQ Screen Name:
Your Vampire Name:
What are your current blood points?
Please supply details of what powers you have and at what level:
Neutrality: 0 1 2 3Charisma: 0 1 2 3
Perception: Yes NoLocate: 0 1 2 3
Second-sight: Yes NoShadows: 0 1 2 3
Suction: Yes NoStamina: 0 1 2 3
Surprise: Yes NoTelepathy: 0 1 2 3
Celerity: 0 1 2 3Thievery: 0 1 2 3

What could your bring to the Coven? Why do you think You would make a worthy student?:

Please enter the code as it is shown:

     



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