CLOSE OUT WHILE SUPPLIES LAST!! This beautiful sterling silver plated autism awareness cuff bracelet has a puzzle piece cut out design. The bracelet is a cuff that is 7 inches from end to end and is somewhat flexible so you can make it bigger or smaller to fit any size wrist. You will be amazed at the quality of this bracelet. This bracelet comes in a gift box with cotton insert in a beautiful white drawstring organza gift bag. THIS ITEM IS NOT RETURNABLE.