I do, but I make them completely digital then print a flattened file, just like I would for layouts. Sometimes I'll add a few physical gems, just a small touch of physical materials. I bought envelopes and size my digital file accordingly. Then I pull it onto an 8.5x11 background before printing. If the card has white sections around the edges, do a 1 or 2 point stroke in a very light gray around the finished card so you'll know where to cut.
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