This is a Christmas card made using a card that has a cut away for the center. Design is stitched out on fabric and then attached to card. I made several different ones and sent out that year.
Below is the doily that I stitched out. It was a freebie design, but there was no center file. So I used my head and design my own center and I think it come out very nice. I used fabric for the center and sewed on a design.