Beautifully handmade in the USA, the upscale version of our wonderful linen tissue box cover has an elegant ribbon trim. Your monogram fits above the detail. This price includes the monogram of your choice (visit our monogram styles page). Cover color options: white with black ribbon (shown), white with navy ribbon, white with tan ribbon, light blue with cream moire ribbon. Machine wash delicate, dry flat, iron. If your order color is out of stock, please expect 4-5 weeks for production lead times.