Personalized custom embroidered EMT, EMS or EMR symbol polo shirt Design with text is approx. 3.1"W (depends upon text) x 3"H; w/o text 2.1"W x 2.2"H Not a patch Thread colors can be changed Long jump stitches between letters will not be in the final embroidery. Message seller after purchase if you want EMR or EMS Custom shirts cannot be returned or exchanged