Materials: Handmade Item, Metal alloy key chain silver plated, Antique Silver Initial Charm, Antique Round Disc with Quote, Birthstone N196 This is a Personalized Survivor, Cancer Survivor, Breast Cancer Survivor, Fighter gift with Initial and Birthstone of the Recipient. Encouragement can change everything though personally one cannot suffer with the sufferer but can always be a support and motivate them. "Not going down without a fight..." Key Chain - this Gift will definitely do the same. God Bless! PLEASE MENTION THE INITIAL & BIRTHSTONE OF THE RECIPIENT AT THE TIME OF PLACING THE ORDER. THANK YOU! BIRTHSTONE: 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.