Contents: HAPPY BIRTHDAY garland banner x 1 Balloons x 12 Large cake topper x 1 Small cake toppers x 12 I used 4 balloons. The garland has string threaded through it, but there's still plenty of unused string left, so don't worry. The large cake topper was used, so it doesn't have the stick to insert into the cake. You can use a straw or bamboo skewer instead.