I am currently experimenting with all the step cards. They sure look cute and definitely a lot of fun; giving you layers to decorate. I used the side step card, you can pick this file up at Pretty Paper Pretty Ribbon here http://www.prettypapergraphics.com/item_245/Side-Step-Card-Cutting-Files.htm, with a fat puppy from the silhouette store along with a heart, paw prints and bone cut out from Miss Kate Cuttables. For the cute twine buttons, I took a 3D glue dot, made a knot in the end of the twine, stuck it in the center and wrapped around to cover the dot. I can't take credit for this technique as I picked it up from the design team at Trendy Twine during their blog hop this week. Thanks girls for sharing.
I am entering this project in the Pretty Paper Pretty Ribbon Get Well Challenge.