Lot of 3 Purple Ribbon Pens with Black Ink The purple ribbon symbolizes many causes including: Alzheimer's disease awareness Animal cruelty/animal welfare ArnoldChiari malformation awareness Childhood hemiplegia and stroke awareness Child neglect awareness and prevention Cystic fibrosis awareness Domestic violence awareness Drug overdose awareness Fibromyalgia awareness General cancer awareness Gilmore Awareness Campaign Hidradenitis suppurativa awareness Leiomyosarcoma Lupus awareness March of Dimes awareness Migraine awareness Orca whale awareness and protection Pagan Pride Pancreatic cancer awareness Peripheral neuropathy awareness Spirit Day and victims of homophobia Sarcoidosis awareness Suicide prevention Testicular cancer awareness Workers' Memorial Day