These Hope Strength Kidney Cancer Ribbon Bracelets have orange, silver and pearl beads surrounded by 3 silver charms that say "Hope" "Strength" and "Courage." The bracelets have a decorative heart charm that has an orange crystal ribbon on it. These sterling silver plated Hope Strength Kidney Cancer Ribbon Bracelets are 8 inches and they stretch to fit most any size wrist. Each bracelet comes in a bag. This is a wholesale pack that contains 12 bracelets.