December issue of Cards magazine has a card like this on page 31.
I measured 1/2" from each edge of the card and drew the lines to within 1/4" of the edge.
Cut 1 1/4" circles from patterned paper and cardstock and adhered them together. Added some pre-tied bows, pop-dotted the circles on the card front and then drew the lines for the "strings".
Computer printed the sentiment.