If you do not provide the required Bracelet size at the time of purchase via or PayPal messages, we will mail you a bracelet with the standard size (7.5)?. This Bracelet is pre-engraved with: " ADRENAL INSUFFICIENCY" on the front and "See Wallet Card" on the back. Please be advised, text shown as black just for the illustration. Real appearance is clear and easy to read, but no black paint is used. Free Medical Emergency Card with each Item! We use classic engraving technique, which makes clear to read groove lasting forever! This Medical ID Bracelet, (size 1-3/4"x 1/2"), is made from premium grade non allergenic surgical Stainless Steel. You will enjoy wearing it and having a peace in mind. Stainless steel curb chain and lobster clasp are 3/16" (5 mm) wide and are guaranteed to be rust free for the life. Metal plate is mirror polished and slightly curved for wrist wear. Please let us know: 1. Desired color of the emblem: Red, Blue, Pink. 2. Required Length of the bracelet (chain + plate together): ....... Inches or Centimeters. If you need to engrave Different medical condition instead, please send us a message. International Buyers: Please Note: Import duties, taxes, and charges are not included in the item price or shipping cost. These charges are the buyer's responsibility. Please check with your country's customs office to determine what these additional costs will be prior to bidding or buying.