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The design is quirky, fun, and full of personality

Smoking (of tobacco) is normally seen as a physical health problem

Its clearer on this one posted by Waikiki Vintage: The original buttons were a nice UFO/bowl shape, similar to the metal ones found on early 1930s Big Yank shirts: Nobody was offering this shape off the rack so I provided an original button to Corozo Buttons in Panama and they were able to faithfully reproduce it in natural tagua nut: Here you can more clearly see black versions of these buttons on a black salt and pepper version from the 1940s: Image courtesy of the Workwear and More blog

If you are a business receiving these products, you will have to work with the business that mails it to you to be included in their exception as a recipient