Full Size Medal Exact Medal currently issued to US military forces of all branches Sold One Per Pack Specifications per The Institute of Heraldry Mount includes Nail Backing Made in the USA Navy Meritorious Civilian Service Full Size Medal (As Issued by US Military) sold one per pack. 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.