For each Awareness bracelet sold, Essential Jewels will donate 10% of the purchase price to the American Cancer Society. Bracelet is made with 8mm AAA grade natural aquamarine stones. Wings charm is 7/8" x 5/8" gold plated metal alloy Light blue ribbon charm is 20mm x 10mm gold plated metal alloy Lead and nickel free Our bracelets are made with heavy duty 1mm elastic crystal string to ensure quality and strength. This bracelet comes in a gift box with the gift card shown in picture Available in several sizes, to determine your size, measure your wrist with a fabric tape measure If you want a size that is not listed, please reach out to me, I will gladly make whatever size you request.