These high quality awareness keychains are round silver charms on key rings shaped like horseshoes, each one with the word "Believe" and an orange ribbon. These adorable and motivational keychains are intended to offer support to those suffering from leukemia, multiple sclerosis, and kidney cancer. The charms have a diameter of about 3/4 inches, while the keyrings have a diameter of about 1 1/2 inches. Each sterling silver-plated keychain is packaged in a bag.