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Our heavy-duty engravable medical alert dog tag is a great way to honor your neighborhood first responder. Our Medical Alert dog tag features the Star of Life, is die struck from fine jeweler's metal, filled with bold enamel colors and polished to a mirror-like shine. The back side is left blank for you to engrave a personalized message. It makes a heartfelt keepsake, whether it is for yourself or as a gift to a special friend. This item includes a 24" iron chain necklace with a 4" chain to connect the dog tag. The 4" chain with dog tag can also be used as a keychain. Each dog tag comes in protective packaging.