A great card for someone who is fighting breast cancer. The T-shirt is cut using a die cut on patterned paper with the breast cancer ribbon. The phrase Be Strong and Courageous is stamped on the front of the T-shirt. The inside of the card reads How can I help? The card measures 3 1/2" x 5" and comes with a white envelope. It is shipped in a cellophane envelope and comes from a smoke free environment.