This humorous greeting card is the perfect birthday gift for friends of family. Our unique, hand crafted stationery is printing on quality paper and blank inside. "Birthdays Are Stressful" Inside: [Blank] Luxe Cream, Professional Folded Stock Card 4.25 x 5.5. Includes A2 Bluebell Envelope, Plastic Sleeve Back of card features logo. Each design is initially hand drawn and put into production at our local family owned printing shop. By purchasing this card you are supporting local business.