This awareness ribbon necklace is comprised of: 12.5mm sterling silver disk is manually engraved with an initial of your choice, paired with a 19mm sterling silver awareness ribbon charm that says SUPPORT. Choice of sterling silver length of chain. Disks are punched into charms, polished to a shine and engraved at time of order. Engraving done via a diamond drag engraving tip, not to be mistaken for hand stamping. Chain may be slightly different than photo, depending on what is available at time of purchase. Handmade in Canada.