Amazon Brand - Presto! 4-Ply Facial Tissues, Pack of 12, 100 Sheets per Box. Packaging may vary from images shown. This product was previously a Presto! product. Now it’s a part of the by Amazon brand. The product is the exact same formulations, size, and quality. Pricing stated is for a 12 pack. Each tissue box consists of 100, 4-ply sheets. Boxes are designed to suit both modern and traditional interiors. Smooth and strong. Dermatologically tested. 100% virgin cellulose paper. Made in Germany. FSC-certified Paper (FSC N004130). Made with materials from well-managed forests, recycled materials, and/or other controlled wood sources.