The Sketch File. Kathy's got a great sketch for you. She actually has a second version posted just in case you aren't inspired by this one.
For my card, I used the patterned paper as a focal point, punching around a portion of it with a circle punch and stitching along the edge to create a medallion. Then I used embossing folders to create texture for the remaining layers.
Supplies: Cardbase: Recollections, Patterned Paper: Colorbok, Cardstock: DCWV, Embossing Folders: Darice, Ribbon: Offray, Embroidery thread: DMC, Adhesive: Scotch ATG