Bliss Manufacturing etched budded tip cross religious birthstone pendants and necklaces are made in the USA. All medals have a 3mm Swarovski crystal birthstone and come in a deluxe gift box. All birthstone jewelry is available in Sterling Silver, 14kt Gold-Filled, 14kt Yellow Gold, 14kt White Gold and 18kt Yellow Gold. They can be engraved with your personal message. They make wonderful Birthday, Motherís Day, Just Because, First Communion gifts and much more.