A sterling silver oval hand stamped by us with the words Great Grandma with a swirl at the bottom. We can add up to 10 birthstone crystals just put the ones you need in the personalization box. You can also do any wording you want on this such as Best Mom Ever or Great Aunt or I Love My Pug, etc... possiblities are endless. Also we can put any symbol we have in stock on the keychain instead of the wave if specified in the personalization box.