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input{width:100%;flex-grow:1;border-top-left-radius:0;border-bottom-left-radius:0;border-left-width:0}.CancerInsured_form_radio__qnLR_{margin-top:1rem;margin-bottom:1rem;display:flex;flex-direction:column;gap:1rem}.CancerBeneficiary_title__90tnS{margin-bottom:1rem;margin-top:1rem;font-size:1.25rem;line-height:1.75rem;font-weight:700}.CancerBeneficiary_sub_title__9e_N0{margin-bottom:1rem;font-size:1.125rem;line-height:1.75rem;font-weight:700}.CancerBeneficiary_form_group__AX3zQ{margin-bottom:1rem;display:flex;flex-wrap:wrap}.CancerBeneficiary_form_label__RVBsj{width:100%;padding-top:0}@media (min-width:1320px){.CancerBeneficiary_form_label__RVBsj{width:33.333333%;padding-top:1rem}}.CancerBeneficiary_form_input__kTAmw{width:100%}@media (min-width:1320px){.CancerBeneficiary_form_input__kTAmw{width:50%}}.CancerBeneficiary_form_input_group__OkjjW{display:flex;width:100%}@media (min-width:1320px){.CancerBeneficiary_form_input_group__OkjjW{width:50%}}.CancerBeneficiary_form_input_group__OkjjW div:first-child{width:150px;flex:none;border-top-right-radius:0;border-bottom-right-radius:0}@media (min-width:1320px){.CancerBeneficiary_form_input_group__OkjjW div:first-child{width:150px}}.CancerBeneficiary_form_input_group__OkjjW div select{border-top-right-radius:0;border-bottom-right-radius:0}.CancerBeneficiary_form_input_group__OkjjW div:last-child{flex-grow:1}.CancerBeneficiary_form_input_group__OkjjW div 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(min-width:1320px){.CancerInsuredAddress_form_input_group__yrATm{width:50%}}.CancerRegisteredAddress_wrapper__jR4IM{margin-top:1.5rem}.CancerRegisteredAddress_title__EgxR_{margin-bottom:1rem;margin-top:1rem;font-size:1.25rem;line-height:1.75rem;font-weight:700}.CancerRegisteredAddress_sub_title__bf1H5{margin-bottom:1rem;font-size:1.125rem;line-height:1.75rem;font-weight:700}.CancerRegisteredAddress_form_group__lVI94{margin-bottom:1rem;display:flex;flex-wrap:wrap}.CancerRegisteredAddress_form_label__nnMUt{width:100%;padding-top:0}@media (min-width:1320px){.CancerRegisteredAddress_form_label__nnMUt{width:33.333333%;padding-top:1rem}}.CancerRegisteredAddress_form_input__8B9Tr{width:100%}@media (min-width:1320px){.CancerRegisteredAddress_form_input__8B9Tr{width:50%}}.CancerRegisteredAddress_form_input_group__HDUkA{display:flex;width:100%}@media (min-width:1320px){.CancerRegisteredAddress_form_input_group__HDUkA{width:50%}}.CancerRegisteredAddress_form_input_group__HDUkA 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input{width:100%;flex-grow:1;border-top-left-radius:0;border-bottom-left-radius:0;border-left-width:0}.CancerRegisteredAddress_form_radio__TYZoP{margin-top:1rem;margin-bottom:1rem}.CancerRegisteredAddress_form_radio__TYZoP,.OrderCancerPrivacyPolicy_wrapper__2FAcE{display:flex;flex-direction:column;gap:1rem}.OrderCancerPrivacyPolicy_condition_title__hfY7F{font-size:1.125rem;line-height:1.75rem;font-weight:600}.OrderCancerPrivacyPolicy_condition_description__3VcVN{font-size:1rem;line-height:1.5rem}.OrderCancerPrivacyPolicy_condition_description_danger__Yvg01{--tw-text-opacity:1;color:rgb(220 38 38/var(--tw-text-opacity,1))}.OrderCancerPrivacyPolicy_link__AN60H{--tw-text-opacity:1;color:rgb(79 188 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