This Mama Wears Her Heart on Her Sleeve with customizable names for the sleeve. Can do grandma, mama, gigi, memaw, mammaw, great grandma, aunt, auntie. Please message before purchase to specify your customizations and I will create a new listing for you. This item is handmade and made to order. Made using sublimation ink so the design is dyed into the fabric. For long last results, follow these care instructions: 1. Turn garment inside out 2. Machine was on cold/warm do not use hot water 3. For best results, air dry. If machine drying is necessary , dry on warm temperature Processing time is usually 2-4 days. This includes making the item and it being sent in the mail. After it is shipped, it can take up to 2 weeks to be delivered. You will receive a physical item in the mail.