ALS Amyotrophic lateral sclerosis Lou Gehrigs Disease Awareness Faith Hope Love Ribbon Necklace You Select Chain Length Medic_Alert_Bracelet If you don't need the

If you don't need the extra closure holes

and I will be happy to create a custom listing for you

Sterling Silver Christmas Tree Charm measures 21mm x 14mm x 1mm

Charm measures 11mm x 5

ALS Amyotrophic lateral sclerosis Lou Gehrigs Disease Awareness Faith Hope Love Ribbon Necklace You Select Chain Length Medic_Alert_Bracelet If you don't need theThe Blue and White Awareness Ribbon represents: *ALS (Amyotrophic lateral sclerosis) Lou Gehrig's Disease. Chain is a high quality Stainless Steel Rolo Chain. Please select chain length from the menu. Lobster Clasp Closure. Awareness Ribbon Charm is Blue and White in color. Ribbon Charm measures 1 inch in length and is silver plated. Faith Hope Love Charm is Laser Engraved Stainless Steel. Charm measures 15mm.