Description Front: You’re fifty seven years old. I’d like to get that down a bit. Inside: A birthday a year keeps the doctor near! Happy Birthday! Includes: 1 card / 1 white envelope Size: 4.6×6.75 inches Envelope: White Paper Stock: Recycled Heavy Cardstock Artist/Credits: Leo Cullum More Info: Made in USA. Printed on recycled paper. Customize: (Optional) Did you know that your personal message can be printed on the inside of this card? Use our online customizer tool to choose the font, color and more. We’ll add your personal message with one of our printers or you can have a customer care team member handwrite your message. This is a great option if you want to send the card directly to the recipient for a special occasion. Because this is a brand name greeting card your message cannot replace the pre-printed artwork and verse. The printing service fee is $1.00 per card. Learn more about personalization and printing.