Heartland Store Women's Oval Sterling Silver St. Jude Medal with Triangle Border & 18" Sterling Silver Chain SIZING: 1 inch (including the top loop) x 3/4 inch EXPERIENCE: Made in USA by 100+ Year Old Family-Owned Bliss Manufacturing with artisans using their generations of knowledge and skill QUALITY: This top quality pendant is made from Genuine .925 Sterling Silver Includes 24 inch stainless steel heavy curb chain