I received an Air Force Commendation Medal from my unit in the mail the other day. It was a nice surprise. My boss at my job in DC is a former Marine, and he laughed at me for getting it in the mail...but that's kind of how we do it in the Air National Guard. Not quite as much "military bearing" or whatever you want to call it. I've actually seen promotional stripes simply handed to people before.
Actually, come to think of it, the medal wasn't included, I have to go buy that myself, but I got the certificate that allows me to claim I am a recipient of it. Which apparently carries some fierce penalties!
"Any false written or verbal claim to a decoration or medal or any wear, purchase, attempt to purchase, solicitation for purchase, mailing, shipping, import, export, manufacture, sale, attempt to sell, advertising for sale, trade, or barter of a decoration or medal authorized for wear by authorized military members or veterans is a federal offense punishable by up to six months in jail and up to a $5,000 fine."