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Our Lady of Perpetual Help Medal, 14 Karat Gold size:7/8" x 3/4" Christopher Gymnastics Pendant is madeThis Our Lady of Perpetual Help Medal is made of 14 Karat Gold. The jewelry pendant is sold as pictured and does not come with a chain. All medals are gift boxed in a light blue velvet jewelry box ready for gift giving. Comes gift boxed in a beautiful velvet hinged jewelry gift box that is ideal for gift giving. Made for Heartland Store entirely in USA by 100+ Year Old Family Owned Bliss Manufacturing with artisans using their generations of knowledge