This card was designed to fit the varied needs of your practice. Your choices for the inside message include: standard message: "Although difficult, may it be of some comfort to know that your decision was caring and compassionate. With deepest sympathy.", leaving the inside blank to hand write your own sentiment, choosing one of our messages, or having your own message imprinted. We will fax or email you a proof for approval on all personalized orders prior to printing. Personalized cards normally ship wihthin 5 business days from approval. Our cards are 5 x 7 inches and come with white envelopes. 25 cards & envelopes per pack. Price breaks at 5-9 packs & 10+ packs.