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Balanced Rapid


12 + 2 (Days) = Rp 2.400.000,-24 + 4 (Days) = Rp 4.750.000,-

Date of Birth:
Delivery Address:

Notes :

EggsFishPeanutSoybeanMilkTree Nuts (almond, hazelnut, walnut, pecan nut, brazil nut, pistachio, cashew, macadamia)Cereal Containing GlutenMustardSesameLupinSulfur Dioxide (preservative found in some dried fruits)Crustaceans (crabs, lobster, crayfish, prawns, scampi)Mollusks (clams, mussels, whelks, oysters, snails and squids)Celery (and celeriac)

Please list any food restrictions or that you may have for the following:

* Spiciness (Spice Level):
NoneLevel 1Level 2Level 3

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