Hi Teresa! We greatly appreciate your desire to bless your kiddo in a very tangible way! Along with a personal letter, you can send: stickers, bookmarks, musical greeting cards, and pop-up cards. These items will be physically delivered to your child. Please keep in mind that items sent without a personal letter will not be delivered to your sponsored child. You can also send: letters, photos, postcards, greeting cards, coloring pages and paper crafts. However, your child will not receive the original items. The items will be scanned and sent electronically. The total number of items (including stationery and the letter to your child) should not be more than six sheets, and each flat paper gift item should not be larger than 8.5” x 11”. If you have any further questions about our letter writing guidelines, more information is available on our frequently asked questions on our website. Thank you so much for blessing your sweet child with your love and support! Have a blessed day!