Essential Jewels will donate 10% of the purchase price of each bracelet sold to PCOS Challenge Bracelet is made with 8mm AAA grade natural turquoise and white jade stones Hope charm is 18mm x 8mm gold or silver plated metal alloy Teal Ribbon charm is 20mm x 10mm gold or silver plated metal alloy 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.