Specifications include, but are not limited to: Virginia EMS Provider Certification Card Item: Quantity: 10,000 Unit of Issue: LO Page Size: 8 1/2” x 11” final trim size; front and back printing with perforations for card and certificate @ 7 1/8”W, 3 5/8”H, 6 1/16”H and 3 5/8”W as indicated on PDF file Copy: 2 sided Inks: Reflex Blue for screened for background and Reflex Blue for text and border. Virginia EMS Physician Endorsement Card Item: Quantity: 1,000 Unit of Issue: LO Page Size: 8 1/2” x 11” final trim size; front and back printing with perforations for card and certificate @ 7 1/8”W, 3 5/8”H, 6 1/16”H and 3 5/8”W as indicated on PDF file Copy: 2 sided Inks: Red for screened for background and Red for text and border, see attached example.