Glue a toning length of ribbon across card and trim edges with sharp scissors to prevent fraying (I keep my ribbon and fabric scissors seperate to my paper scissors so keep them sharp).
Stamp an image with a permanent ink pad and colour with watercolour paints of pencils, trim to size and ink around the edges with black chalk ink. Attach to your card with foam pads to raise the image from the background and give extra definition.
Select co-ordinating buttons and attach with strong glue down the side of the card or you could add a sentiment instead of buttons
(Striped paper from Shabby Princess, Ribbon from Amercan Crafts, Buttons by FooFaLa, Stamp by Tilda at Panduro)