I printed it out twice on white card stock, and headed down to my studio, where I cut the image area to 4" x 5 1/4". The perfect layering size for a card front.
From one of the copies of the MDS creation, I cut out the pink and green balloons, and popped them up over their counterparts on the card panel with Stampin' Dimensionals. That was cute enough, but then I added Dazzling Diamonds glitter to the purple striped balloon and the star above the "i".
Finally, adhering it onto a Concord Crush (retired, I'm sad to say), card front completed the darling greeting. Happy Birthday, Stacy!