Four-Way Combination Medal, Miraculous-Scapular-Saint Christopher-Saint Joseph Medals. 16kt Gold Over Solid Sterling Silver. Medal is Die Struck. Hand Polished and Engraved by New England Silversmiths. Dimensions: 0.9" x 0.8" (22mm x 20mm) Weight of Medal: 2.4 Grams. 18" Genuine Gold Plated Curb Chain. Made in USA. Deluxe Velvet Gift Box.