This Leukemia awareness orange ribbon adjustable bracelet is a sterling silver plated rope that has an orange colored string around it. A beautiful feature of this bracelet is the two heart accent pieces that are on both sides of the silver rope. This bracelet also has an orange ribbon charm as well as a silver heart charm that says "Leukemia Awareness" and a small silver heart charm at the clasp. This bracelet is approximately 8 1/2 inches but has the ability to be shorter or longer simply by moving the clasp along the chain part. This orange ribbon bracelet comes in a bag.