Item includes a RN charm, Also penny with the year of your choice, please type in the year you would like the penny to be(Please note 2017 penny are not yet available) We will stamp the date that the RN Graduates on the penny. Please type in the date you would like stamped in the options. Perfect gift for any RN. All Items are hand stamped and have slight variations in spacing and stamping. All orders ship with 2-3 business days.