This is a Peruvian Porcelain Topper with a Metal Alloy (lead and nickel free) base and steel peg This Ribbon Represents the Following: AIDS/HIV, Blood Cancers and Disorders, Cardiovascular Disease, Apert Syndrome, Bronchiolitis Obliterans (BOS), Thrombotic Thrombocytopenic Purpura, Congenital Heart Defects, Congenital Heart Disease, Congestive Heart Failure, Aplastic Anemia, Courage and Inspiration, DARE, Burn Victims, Driving under the Influence, Diamond Blackfan Anemia, Evans Syndrome, Factor XI Deficiency, Heart Disease, Wegener's Granulomatosis, Dysautonomia, Epidermolysis Bullosa, Hemophilia, Huffing, Hypertension, Inhalant Abuse, Project Red Flag, Love, Lymphoma, High Blood Pressure, MADD, Marfan Syndrome, Poland Syndrome, Long Q-T Syndrome, Reflex Sympathetic Dystrophy, Supraventricular Tachycardia, Stroke, Substance Abuse, Sniffing Abuse, Tuberculosis, Von Willebrand's Disease, There are 2 Pairs in Stock