I used a 5 1/2" x 2" piece of paper from the Thoroughly Modern pack on the bottom front, tying a knot of White Organza Ribbon above it.
I earned the Birthday Bliss stamp set FREE (you can too with a $50 purchase, contact me today!). I stamped this image twice - once in Rose Red, and a second time in Bermuda Bay, cutting out just the words and adhering them with dimensionals.
I used the Wide Oval Punch on the Rose Red image. It's adhered to the card with dimensionals, as well.