For each Trisomy 18 Awareness earrings sold, Essential Jewels will donate 10% of the purchase price to the The Arc, the arc.org. Earrings are made with 8mm AAA grade natural Aquamarine stones. Pair with our Trisomy 18 Awareness bracelet, available in a separate listing 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 Your choice of silver or gold plated settings