Abstract: A greetings card (10) has a fold-out insert in the form of a strip (16) which carries, for example, a repeating pattern of birthday candles. The strip is cut (e.g. at 16) by the giver of the card so that the number of birthday candles remaining corresponds to the age of the recipient. The insert may be sold separately from the card, and may be attached to a card selected separately by the giver of the card. The strip may be attached (either by the user or by the manufacturer) to objects other than a card.