Cool Vintage City of Hope Teal Ribbon Cancer Awareness Enamel Tie Tack. Neat old / older cancer fight or fighting awareness pinback style tie tac. Approx. 1 1/8" tall. Please, refer carefully to the photo / photos for the exact condition of this item. I consistently ship items out the next business day following receipt of payment. Illinois residents please 6.50% sales or provide a copy of your Illinois tax id number. BECAUSE OF THE LARGE INTERNATIONAL SHIPPING COSTS INCREASE, please contact me about international shipping. I am always happy to combine shipping whenever possible. Most of the time that will be the cost of the shipping for one item. Please, inquire if you have any questions. Thanks and good luck!!!