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Combo Includes 1 handmade bracelet & 1 silicone bracelet Handmade Natural Stone Bracelet -8mm Sodalite Stone Beads -8mm Lapis Lazuli Stone Beads -Awareness Ribbon Bead Tibetan Alloy Metal Charm If you need a specific size I can customize, otherwise they are stretch and accommodate up to size 7.25" wrist. To measure your wrist, use a string & ruler. 100% of the proceeds of this bracelet combo go to the KLH Colon Cancer Awareness Fund.