Made in the USA Heavy duty expanded vinyl Medallion holder. Book & Medallion are not included. Serenity Prayer 6th Edition Basic Text Book Cover with Serenity Prayer Silk Screened on Leather-Look Expanded Vinyl and with Medallion Holder. Red, Pink and Purple covers have Silver writing, all others have Gold writing. Book size: 6 1/4" x 9 1/4" x 1 1/8". (Book & Medallion NOT included) Also available in Blue, Red, Tan, Dark Brown, Burgundy, Black, Green, Purple, White and Pink Made in the USA