COVER: On your 60th Birthday do you know why sixty and sexy sound alike? INSIDE: The hearing is starting to go! Happy 60th Birthday! Our cards are 5" x 7" printed in full color inside & out. Each comes with a color coordinated envelope. Our greeting cards are manufactured in the U.S.A. with recycled paper and vegetable based ink. With over 300 designs and frequent new releases covering various occasions, we can help you say Happy Birthday, Get Well, Happy Anniversary, etc. your own special way! Printed in the USA on high-quality post-consumer recycled paper.