The Xyron 150 Create-A-Sticker comes loaded with a cartridge and ready to use! The machine is small (4" tall) and the opening can accommodate paper up to 1 1/2" wide. There are two types of acid-free adhesive refills available for this machine: Permanent and Removable. Both are easy to load and unload. There is a window on the side of the 150 which shows you which cartridge is loaded in the machine.