I'm in the Birthday Club on Kindred Souls Art Group. We decorate a 4"x4" page for the recipient, leaving the left edge free of embellishments so the page can be bound in a book. Eileen's birthday is in December, so I made her this page:
Used an angel image on TAP paper and transferred it onto a printed fabric. Adhered some lacy ribbon, a fabric flower and some metal letters to spell J-O-Y.
The back is a sheet of background paper with a saying stamped in Sepia Archival ink.