Premium quality 6 Year AA Medallion in Reflex Blue and Gold Plated design. Serenity Prayer on the back and designed with recessed colored lettering around the rim and raised triangle for a great look and feel. Comes with a nice vinyl protector envelope. This is among the first 150 ever produced. Give the gift of art. Check out the IV on the sides as well as the middle. If you need a keychain holder search Amazon for B01GLOWDJY which is the ASIN for the holder that works with this item.