Includes one refill. There were originally 160 stickers, but since some have been used, I believe there are about 100 left. I have confirmed that the stickers dispense properly, but there is a possibility that the first sticker may dry out before shipping and not come out. In that case, please peel off the first sticker yourself and use the second sticker onwards. The cartridge replacement instructions will also be included. Thank you for looking.