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What's included: Four packs of 110 tissues, for 440 tissues in total, plus one tissue dispenser. 100% bamboo pulp: The tissues are made from 100% bamboo pulp for everyday face and nose wiping. Three-ply tissues: Each tissue has three layers for everyday use. Refill the included dispenser: Keep a tissue pack in the supplied box and replace it with a fresh pack when empty. Keep tissues close by: Place the dispenser on a desk or bedside table, and keep the spare packs ready for refilling.