Essential Jewels is donating 10% of the purchase price from every one of these bracelets sold to the International Association for Premenstrual Disorders Bracelet is made with 8mm AAA grade natural turquoise and white jade stones Teal Ribbon charm is 20mm x 10mm gold or silver plated metal alloy Pair with our PMDD Awareness earrings, available in a separate listing 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.