ALL Fonts, Shapes & Symbols Available For Custom Pieces. Please Screenshot This Image (If Your On Your Phone) And Email To Along With Your Order Number For Any Clarification On The Shapes You Would Like. If Any Design Wont Fit On Some Of The Smaller Items (Tiny Rings, Watch Bands or Stethoscope Rings) I Will Contact You So We Can Design The Piece Together. Hope This Helps The Ordering Process!