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Customer Name *

WhatsApp Number *

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Weekly

Monthly

Paket Mahasiswa S

Rp 99,000/ Weekly

Paket Mahasiswa SM

Rp 197,000/ Weekly

Paket Mahasiswa M

Rp 99,000/ Weekly

Paket Reguler S

Free Sambal

Rp 120,000/ Weekly

Paket Reguler SM

Free Sambal

Rp 239,000/ Weekly

Paket Reguler M

Free Sambal

Rp 120,000/ Weekly

Paket Healty S

Rp 198,000/ Weekly

Paket Healty SM

Rp 396,000/ Weekly

Paket Healty M

Rp 198,000/ Weekly

Paket Mahasiswa S

Rp 395,000/ Monthly

Paket Mahasiswa SM

Rp 787,000/ Monthly

Paket Mahasiswa M

Rp 395,000/ Monthly

Paket Reguler S

Free Sambal

Rp 459,000/ Monthly

Paket Reguler SM

Free Sambal

Rp 879,000/ Monthly

Paket Reguler M

Free Sambal

Rp 459,000/ Monthly

Quantity *

Total Amount

Start Date *

Orders placed during 9:00 PM - 12:01 AM will be scheduled to start the day after tomorrow.

Location Link *

Marker *

Fish Allergy *

No Yes

Additional Notes