The Knot image is a remnant of Tennessee Pre-contact history. This particular image has been found along river beds in Tennessee and Alabama. 2" Copper Medallion on a 20" custom chain All of our jewelry is handmade in our studio in Oklahoma. Please allow 2-3 days before we ship. Need something faster, choose Front Of The Line Shipping at Checkout. This option allows you to skip to the front of the production line. Standard shipping times apply once shipped