Give your nurses, doctors and medical staff a thank-you gift set that's both meaningful and useful. Assorted cards allow you to choose a design perfect for expressing appreciation to each person, and the slim designed notebook easily slips into a bag or clipboard. Made in USA. Pack of 50 includes 25 assorted cards, 5 each of 5 designs, and 25 notebooks—for a total of 25 gift set bundles. Each softcover notebook has 48 lined pages. Bulk pack includes 26 envelopes and 25 gold seals. Cards are subject to substitution due to availability.