This card is simply made using one of the angel motifs.
For this one print the:-
Gabriel motifs on quality white card
Hark the Herald Angels Sing A4 background onto quality white paper
Cut a 3cm strip of the full-size music sheet to fit the front of an A6 cream/ivory card blank and stick it to the left hand side using double-sided tape.
Cut out a small motif and one of the miniature music sheets. Stick the motif to a larger piece of gold metallic card with tape then trim around to leave a small border.
Arrange the two pieces on the card blank at angles until you're happy with the positioning. Stick the miniature music with tape and the angel motif with sticky pads.