Breast Cancer Awareness (Laser-cut Inlay) - Sierra Twist PenHand made in Mount Juliet, Tennessee Laser cut inlay required assembly similar to a 3D jigsaw puzzle prior to turning Each separately colored piece had to be placed to create the design pattern Show support for those that have fought and continue to fight Breast Cancer Durable chrome black chrome finish on the metal components Smooth fluid twist mechanism utilized to extend and retract the writing point Premium Parker style refill included