Exact set currently issued to US military forces of all branches Includes Full Size Medal, Ribbon, Lapel Pin and Presentation Case Specifications per The Institute of Heraldry Mount includes Nail Backing Made in the USA Worn on the Dress Uniform Air Force Exemplary Civilian Service Box Set in Official Presentation Case includes Full Size Medal, Ribbon, Lapel Pin and Presentation Case. Each product is evaluated for quality and meets the standards provided by the Institute of Heraldry. We are a family-owned business and are proud to serve the Service Members that serve our country. Thank you for considering our company for your needs.