The three arrows represent the three 21st chromosomes and the strength to rise up above Down's Syndrome. 
Down's Syndrome symbol is cut out of a coin of your choice. Each coin is hand carved and then set inside a pendant bezel.  Keep the charm by itself or add a key chain, necklace, or bracelet to show off your Hand Carved Coin! 
State coins were only made one year per state, so please only request a year OR a state, not both.  Contact me for rare, foreign or silver coin prices.Please note: some coins may not be available right away. Quarters are usually in stock in every year, but other denominations may not be in stock. If the coin you order is not in stock, I will contact you immediately with the estimated time frame to get the coin. usually 1 week or less. (More necklaces are available under "Chain Options")