All cuff links and formal sets at Giftwagon.com are made in the USA, plated with 18 karat gold or silver and gift boxed. Gold Caduceus physician cuff links $29.95 Gold Playing Card Cuff Links $23.95 Silver Boat Propeller Formal Set $49.95 Semi-Precious Mosaic Cuff Links $78.95 Gold Fleur De Lis Formal Set, $39.95 Scales of Justice Cuff Links $28.95 Spinning Globe Cuff Links $32.95 Golf Ball Cuff Links $34.95 Large Silver Love Knots Formal Set $34.95 Gold Cross Cuff Links $21.95 Scales of Justice Gold Cuff Links $31.95 Scale of Justice Silver Cuff Links $31.95 The fixed ground shipping charge of $5.95 stays the same no matter how many items you order.