This classic 4-Way medal cross necklace with Maltese-style edges has traditional imagery that includes the Scapular (Sacred Heart of Jesus) on top, St. Joseph on the left, St. Christopher on the right, and the Miraculous medal on the bottom. 4-Way medals have been the favorite of Catholics since their creation due to their incorporation of so many popular medals and symbols. The message on the back which says, 'I am a Catholic. Please call a Priest' is also an important characteristic because those powerful words will ensure that your spiritual needs are met in the event of an emergency. This sterling silver Maltese 4-Way medal cross necklace comes on an 18 inch stainless steel chain, which is a great size for most women and children ages 7+. Like most of the fine inspirational jewelry that you can buy at St. Patrick's Guild, the necklace comes in a hinged jewelry gift box.