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The methods in the western world are quite simple and don't actually show the appreciation to its fullest magnitude. I realize that is society today, it is all about the convenience of sending a card, e-mail, or purchasing a present online and sent to the person on wants to show appreciation. However, if I were to be giving appreciation, I would prefer to go out and find an appropriate gift and give it to the person in person. I believe this shows how grateful you actually are of what the person did for you, and will also make the recipient honored of their
