Did you know that the orange ribbon represents Leukemia Awareness? This orange ribbon toggle bracelet has orange, silver and pearl beads surrounded by 3 silver charms that say "Hope, Strength and Courage." This bracelet has a decorative heart charm that has an orange crystal ribbon on it. The sterling silver plated bracelet is 8 inches wide and stretches to fit any size wrist. The bracelet comes in a gift box with cotton insert.