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Basentage (Alkaline diet) Plus package
First Name*
Last name*
House no. and street*
Town/city*
Country*
Landline or mobile*
Email*
Date of birth
Appointment*
Please select
November 1, 2027 – November 6, 2027
January 11, 2027 – January 16, 2027
Individual appointment
NB: The diet plan will only be offered on these dates if at least 6 people register. Diet plans can be cancelled up to 4 weeks in advance. Prices for individual packages are discussed separately. Please specify your preferred dates in the ‘Message’ box.
Number of people*
Please select
1 person
2 people
3 people
4 people
5 people
6 people
Message
I have read and agree to the the information on
data protection
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Thank you for your request.
You will receive a response from us by e-mail as soon as possible.
Until then, your request remains non-binding.
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