Sterling silver charm (1") is hand stamped with "Grandma", then hammered. A sterling silver family tree charm comes with the necklace, as well as three birthstones. Additional birthstones may be added. This hand stamped necklace is hung on a sterling silver box chain. Additional options are available (see below). All orders include first-class worldwide shipping (expedited shipping options available). All orders are shipped in a black velour bag - ready for gift giving.