Card Protector Immunization Record Cards Holder Clear Plastic Sleeve With Clip Feature: 1.IMMUNIZATION CARD HOLDER READY - Display Vaccination Card at Airlines for Quick Entry - Accessible for Barcodes & QC Codes to be Read with Scanner Reader Through Visible Clear Protector Window - Great for Teachers, Students, Nurses, Office Employees, Doctors, Government Official, Police, Volunteer and More 2.EASY ACCESS HORIZONTAL TOP INSERT - Secure Document Holder, Thin yet Durable Vinyl Cover Pouch with Thumb Slip Opening - No Zipper Hassle - Ideal for Printable Document, Vaccination Record, Trade Show Badge, Name Tag, Bus Pass and More 3.ATTACHES TO ANY LANYARD OR BADGE REEL - Existing 3 Slot Holes to Securely Attach to Standard Lanyard or Badge Reel Strap Clip in the Middle Hole and an Open Ended Lanyard in the Outer Slots - Convenient Neck Hold for Horizontal 4" x 3" Badge, Pass, Ticket, Card, Document, Photo, Paper or Credential, Permit, License - Wear Over Clothing or Discreetly Under a Jacket 4.HEAVY DUTY REUSABLE BADGE HOLDERS - Multi Purpose Use and Reuse for a Health Record Keeper or for Special or Promotional Events, Conventions, Concerts, Festivals, Retreats, Family & School Reunions, Store Tags, Fundraisers, Field Trips, PTA, Transit Bus, VIP Pass and More 5.The rope is not included, only the card holder. Package Content: 20x Card Protector 20xCard hook