These Autism Ribbon charms are multicolored puzzle pieces boasting lovely silver beads with going around the ribbon and a red heart in the center of the ribbon on a round. Each sterling silver autism charm measures 1 inch by 1/2 inch. These bracelets are 7 1/2 inches with a toggle clasp and are elastic so they stretch to fit most any size wrist. Each sterling silver plated bracelet comes in a bag.