These types of creations always take me so long to make, but I really enjoy it. It's kind of like making 4 mini-cards. To get the basic tag card shape, I cut my paper to 12x4.25. I scored it every 3 inches and used the tag corner punch. Then I went crazy making the card. When I plan on doing these types of designs it is never spur of the moment. I sketch the whole thing out, usually in an environment where I am away from my supplies (aka WORK). If you're interested, here's my sketch from earlier this morning.