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. Mary-Beth's birthday is in December, so I made her this page:
I covered the edges of the page with washi tape I rubbed Sepia Archival Ink over. An angel image was printed on TAP paper and ironed onto a dictionary page, I glued this to the board. Added a bit of lacy ribbon, a paper flower, a metal butterfly and sticker letters to spell J-O-Y.
The back is a pieced of background paper I stamped a saying on with Sepia Archival Ink.