Black Hills Mothers Heart Pendant in Sterling Silver - Customizable with 1,2,3,4,5 or 6 Birthstones 12 Birthstone options to choose To Personalize see Stone Options and Position Chart &lt;br&gt; images on the left After your purchase please send us a message telling us stone positions and Birth month. Eg: Position1 - Jan, Position2 - Aug etc Call us at 508-762-8900 for any questions Personalized Jewelry - Non Returnable