I made this card for my cousin who just had her 3rd girlie. IMO, the best gift for someone that lives far away that already has kids of the same sex is a gift card, in this case, Target. Got to buy diapers!
Its hard to see, but there is crystal effects on the elephant's ear.
1)I used the full length 1/2 sheet of paper (Dawn calls for 4 1/4" x 10 3/4".) I used 4 1/4" x 11. I then scored at 3 3/4" and 8 7/8".
2) I put the gift card in horizontally rather than vertically because that's how the design on the gift card I got was so I thought it looked better that way and it also ran into the DP less.
3) I put the dimensionals under the elephant as high as possible while still having the top flap fit in. This helps keep the card as closed as possible.