Authorization Form

Online Training Authorization Form


Enter Password
In order to enter the Distributor Online Training system, 
you must provide a valid password and press submit. 
Password:

Request Password
If you do not have a valid Online Training password and want to become a Sales Representative for the TruFUSE product and utilize the training system, please fill out the form below  to request a password.  Your request will be processed by minSURG personnel. Passwords will change periodically therefore it is best to complete the training in a timely manner once you have begun your review of the material.  You can email cnakamura@minsurg.com or call  727-466-4371 if you have any questions.
First Name:
Last Name:
Phone:
Email:
Distributor Name: