Materials: Handmade Item, Silver Plated Expandable Bangle Bracelet, Birthstone, Initial, Antique RN Charm This is a RN Charm Bracelet, Nursing School Jewelry for trained or undergoing training Nurses, Gift for Nursing Graduates An Awesome and Pleasing Nurse Bracelet Jewelry Perfect gift for Registered Nurses, Staff Nurse, New Nurse. Please Mention Initial and Birthstone of the Recipient Before Check Out of the Order. Thank you! JANUARY Garnet February Amethyst MARCH Aquamarine APRIL Diamonds MAY Emerald JUNE birthdays claim two birthstones; pearl and Alexandrite. Pearls have been wildly popular JULY Rubies AUGUST Peridot SEPTEMBER Sapphire OCTOBER as two birthstones; Tourmaline and Opal NOVEMBER Citrine and Topaz DECEMBER claim to three gemstones; Zircon, Tanzanite and Turquoise. If you wish to purchase more than One Quantity OR Group OR Team Jewelry then Please Contact Us. If you need to ship this product on Priority Basis OR Express shipping then Please Contact Us.