Medium Punch. These Punches Provide An Easy Way To Make Perfect Shapes For All Your Scrapbook, Card Making And Craft Projects. These Punches Are Available In Assorted Shapes And Sizes And All Feature A Punch Lever That Is Gentle On Your Hands. Use Both Positive And Negative Punched Out Pieces To Create Matting Areas For Photos Or Journaling. This Package Contains One Medium Punch. Design: Heart. Available In A Variety Of Designs: Each Sold Separately. Designs Measure Approximately One Inch But Vary By Punch. Punch Measures 1 1/2X13/4X31/2 Inches. Imported.