Our “Aging Well Birthday” card is lovingly handcrafted in the Philippines by women survivors of sex trafficking. Item Details: The card incorporates a variety of handmade, recycled papers, making it environmentally sustainable, too.Envelope included.DIMENSIONS: 4.5 IN x 5.75 INMATERIALS: HANDMADE RECYCLED PAPERS This card was created for you by women who have escaped sex trafficking in the Philippines. Your purchase provides jobs that enable these women to support their families. Good Paper is a proud member of the fair trade federation.