Our Full Size Medals box sets are all Made in the USA and certified to meet all government specifications. Box Set includes Full Size Medal, Slide-on Ribbon, and Lapel Pin on most box sets. Medals come on single mount with 2 nails. If joint and catch back is required, please specify in comments box at checkout. See description to know if Lapel Pin is included. Box sets come in official blue plastic box with United States Of America embossed in gold.