Lots of ideas to make your own birthday card for friends and co-workers can be found here. Hand made card ideas can start with a heart punch or pretty paper.
7 DIY Birthday Card Design Ideas: Create your own Birthday Cards for Free
33+ Homemade Birthday Card Ideas
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MAKING BIRTHDAY CARDS – Lots of homemade birthday card ideas
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JLK: Cupcake birthday card in shades of pink, with embossing and a ribbon trim.
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9 Cute Homemade Birthday Card Ideas For Grandma To Celebrate Her Day
5 DIY Greeting Card Ideas for Families
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DIY Birthday Bear Card
12 Amazing DIY Birthday Card Ideas - BookMyPainting