Here, finally, is the medallion with more! Our Silver Ribbon Design Medallion with Sticker features one of our most unique die-cut designs yet. Plus, each 2.5" medallion comes with a full-color sticker of your choice. Honoring the best and brightest in your grade? Recognizing a top teacher for her dedication? Giving the gift of thanks to the grade-school janitor? However you choose to use this small token of acknowledgment, you can put full trust in its quality and appearance. Assembly required. Neck ribbons are sold separately.