My eldest will be twenty next month, and like all males, he's almost impossible to design cards for. This year, I decided to keep it simple, and designed a card on my computer. I used a bit of software I've had for a while called Namo Webcanvas which is a vector image editor and that allowed me to fill the various letters with patterns. It's printed on specially coated card from Ryman that gives excellent quality results but looks like standard, smooth white card. I put the name on the front of a 144mm square card and cut out the centre of the 0 and around the outside.

The name is completely cut out and mounted on sticky pads.