Sterling Silver Four Way Medal Cross Necklace, 24" Four-Way Cross Medal Measures 1.10 Inches High by .93 Inches Wide 28.00 Millimeters X 23.50 Millimeters Cross 4-Way Medal Crafted in Antiqued Polished and Matte Finished Sterling Silver Suspended from a Sterling Silver Continuous Flat Curb Chain, 24 Inches Long and 2.26 Millimeters in Diameter The Four Way Medal or Four Way Cross is also known as a cruciform and is four medals in one. Sacred heart of Jesus, Virgin Mother, St. Christopher and St. Joseph. Sapphire Blue Velvet Gift Box; Back of Medal is Blank Making it Perfect for Engraving Your Special Message