Express appreciation for nurses, doctors and medical staff with an affirming card and a designed notebook they can take anywhere. Their work requires skill, caring and empathy, so show them you notice with a card that says they make it look easy. Perfectly paired, the slim notebook reinforces the unique skills they have in caring and healing. Made in USA. Pack of 10 includes 5 greeting cards and 5 notebooks—for a total of 5 card & notebook gift bundles. Each softcover notebook has 48 lined pages. Bulk pack includes 5 envelopes and 5 gold seals. Cards are subject to substitution due to availability.