A complete selection of gold & silver medallions, anniversary & birthday silver and gold, the camel in gold, praying hands in gold and the 24 hour medallion in bi-plate. We also have a new design anniversary and birthday medallion in bi-plate silver & gold, and a gold plated anniversary medallion all with the serenity prayer on the back. These medallions are used to celebrate years of sobriety in AA. Some AA groups refer to them as Birthday Medallions and others call them Anniversary Medallions. For an extra special gift the customer can add the Gift Pack, which makes giving a medallion special, or the most popular Leather Key Tag to carry the medallion.