These are 3 1/4 X 3 1/4 inch, vinyl stickers with a 3 millimeter laminate to make them weather proof. (per manufacturer's instructions) Created with Photoshop for crisp, clear images and printed with a high quality Canon printer! Choose from 4 different variations using the drop down box, next to the item! Free shipping in the US! Since Global stamps cost over double of a regular stamp, there is a 0.58 cent charge for international orders. Lyme disease and tick borne illnesses infect at least 450,000 annually in the US and can be found in every state and every country in the world. It is one the fastest growing infections in the US and is misdiagnosed as 100's of different illnesses, leading to long term disabilities and resulting issues. Neuroborreliosis can occur within several weeks of an initial infection and can present as Parkinson's, ALS, multiple sclerosis (MS), fibromyalgia, chronic fatigue syndrome, autoimmune diseases including lupus and rheumatoid arthritis [1-7], polymyalgia rheumatica, thyroid disease, and psychiatric disorders, among others. Support two Lyme disease warriors by purchasing a sticker or magnet today and brighten another warriors day or just bring awareness to your community! Thank you very much for your support and stay safe! Much love!