The Classic AA Design in gold or dilver plate has a selection of 6 different colors. The colors are paint-on-demand with the serenity prayer on the back. The Founders Medallion design has the image of Bill W and Dr. Bob, the founders of AA, on the front with a choice of 6 colors. 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 you can add our Medallion Gift Pack, which makes giving a medallion special.   Another nice option is the ordering the Leather Key Tag to carry the medallion.