CLOSE OUT WHILE SUPPLIES LAST!! These autism bracelets have silver circle charms with blue beads inside the circles. The bracelet has 2 charms - a small silver puzzle charm and an autism ribbon charm. These bracelet are sterling silver plated and are approximately 8 inches. This is a stretch bracelet so it stretches to fit most sized wrists and each one comes in a gift box with cotton insert. This is a wholesale pack that contains 18 bracelets. THIS ITEM IS NOT RETURNABLE.