The item is a sterling silver Saint Michael E.M.T oval pendant with a 24 inch long silver curb chain. The chain will have no catch. The pendant says Saint Michael Pray For Us on the front and the back has the caduceus with the E.M.T initials. The pendant measures 1 inch tall and 3/4 inches wide or 2.54 x 1.905 centimeters. This item is made to order so please allow approximately 4 days before I can ship it to you. I will provide a pendant box.