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