Every Jewels of Maui Autism Awareness bangle has a personal touch. Simply leave us a note at check out with the initial you would like to have hand stamped on your bangle. Each bangle is handmade with solid sterling silver. The heart is shaped, soldered and hammered. Then heart completes the bangle after being placed along with the autism puzzle piece charm and initialed sterling silver coin. This Jewels of Maui Autism Awareness bangle can look great alone or layered with other bangles!