For every pair of Awareness earrings sold, Essential Jewels will donate 10% of the purchase price to the American Cancer Society Earrings are made with 8mm AAA grade natural Aquamarine stones. Ribbon charm is 20mm x 10mm silver or gold plated zinc alloy. Lead and nickel free Available in hooks, clip-ons, or leverbacks These earrings come in a white marble gift box with the gift card shown in the picture making it perfect for gift giving. Available in hooks, leverbacks, or clip-ons