The card base is a ribbed cardstock called Cottonwood, layered on top was Aloe topped with Cucumber paper all from The Paper Company. The Cucumber layer is embossed with new Welcome Baby Cuttlebug Embossing Folder. The focal image is a medallion made from a large nestie scalloped circle stamped with the Flourishes Damask stamp with Versamagic Aquatic. The punched top layer is made from a corner punch used on a nestie solid circle and is embellished with half pearls. (Note, once punched the center falls out and you are left with a wonderful filigree type frame). Thin cream ribbon paired with a Nestibilities Ribbon Tag holds the sentiment Birthday Wishes.
Although the details are listed here, there is much more detailed info and closeups on my blog. The entry for this card is here: