Lime Green Ribbon (color) represents: Muscular Dystrophy, Adult Stem Cell donors, Lyme Disease, Lymphoma, Non-Hodgkin's Lymphoma, Sandhoff Disease and Adoptees Rights. Drop earrings measure approx. 1 inch with round river shell beads and Tibetan ""HOPE"" ribbon charm. On silver plated non-allergic fish hook wires. Packaged. If not a local pickup, this item can be shipped within the USA.