We ship within 24 hours of receiving an order from Eugene, Oregon (exceptions are custom lockets which ship within 48 hours). Standard shipping to US locations takes 3-5 days; priority mail takes 1-3 days for delivery. Thanks for visiting ^..^ Violet & Lance Please note: International buyers are responsible for duties, taxes, customs clearance fees, & any other import fees that may be levied by their home countries. Saint Agatha LPN Keychain, Clip or Necklace Attached to a central Courage ring (1 in diameter) are an Italian-made St. Agatha Medal (1 tall x 0.6" wide) with “Pray for Us” engraved on the reverse side, LPN (0.5" tall x 0.75" wide), Cross (1" tall x 0.5" wide), Fearless (0.9" tall x 0.75" wide), Protected (0.9" tall x 0.75" wide) & Healing (0.5" in diameter) charms. Available as a keychain (total length approximately 4.75"), clip (total length approximately 3.75"), or necklace on a high-quality stainless steel ball chain or stainless steel link chain that will not rust or tarnish. Materials: Italian Pewter Saint Medal; Silver-plated keychain, clip, & charms; stainless steel ball chain, link chain, jump rings. Your keychain, clip or necklace will be tucked inside an organza gift bag. You can Add-on a Gift Box here: https://www.etsy.com/listing/556635647/add-on-gift-box-to-any-item-birthday?ref=listings_manager_grid You can Add-on a Thank You charm here: https://www.etsy.com/listing/823679291/add-on-thank-you-charm-add-the-thank-you?ref=listings_manager_grid You can Add-On Extra Letter Charms here: https://www.etsy.com/listing/522864279/add-on-letter-charm-to-any-item?ref=listings_manager_grid You can Add-On Swarovski Birthstone Crystals here: https://www.etsy.com/listing/522857251/add-on-swarovski-birthstone-crystal-to?ref=listings_manager_grid You can Add-On BOTH, Swarovski Birthstone Crystal & Extra Letter Charm here: https://www.etsy.com/listing/522863545/add-on-both-swarovski-birthstone-crystal?ref=listings_manager_grid We assemble our link chain necklaces for right-handed recipients. If you’d like us to assemble your necklace for a left-handed recipient, please send us a Note to Seller. If you’re sending a gift & would like a Gift Card with your message, please send us a Note to Seller during check-out with the message you’d like. Thank you for visiting. We welcome your questions, & requests for custom orders. We hope your day totally rOcks :o) Violet & Lance ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Return policy: Please contact us if you’re not happy with your purchase. Buyers are responsible for outgoing & incoming shipping fees. Also, since we hand-craft & customize each item to order, there’s a 20% fee to disassemble & restock returns." st. Agatha Lpn Clip, Keychain Or Necklace, Saint Agatha, Healing, Protected, Fearless, Patron Of Nurses Licensed Practical Nurse