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One side has a pic of the subject of the card, the other side shows the sign. It's quite useful. My daughter loves it, her favourite card is milk because there is a breastfeeding pic too, and she loves breastmilk. The other favourites are shoes and the cat but she can't do the signs for them, but choses the card if I say the word and show the sign for it. We use only 10-12 cards now, she is 10 months old (key, shoes, cat, rabbit, milk, eat, butterfly, mouse, fish, car, flower - these are the things around us).
Great item good to learn
Verified purchase: Yes | Condition: New