Birthday greeting card features a birthday cake design with intricate quilled paper flowers, lettering and cake stand. This handmade quilled paper card is a work of art that displays beautifully in a 5x7 frame (sold separately). Foil accents. Crafted using the ancient art of quilling, in which small strips of paper are hand-rolled, coiled, shaped and individually placed to create a beautiful and detailed piece of art. This Hallmark Signature card was created in partnership with Quilling Card LLC.