Made in USA from Genuine .925 Sterling Silver Comes with Chain for Neck Wear Over 200 Subjects Available, Including All the Popular Saints Makes a Great First Communion or Confirmation Gift for Boys or Girls! Comes with Gift Box These beautiful saint medals are the perfect First Communion or Confirmation gift! Each medal is struck from genuine .925 sterling silver, and hand-crafted here in the USA. Over 200 subjects available! Comes with gift box.