Tissue - Birthday Card

Is it weird that the older we get the more sense this makes? Sleeve tissues make a lot of sense, says the 46 year old me (but I'm pretty sure I've been doing it for years, earlier that I probably should have?!?!)

This birthday card is letterpress printed on 100% cotton paper. 

Blank inside, includes a kraft envelope

 A2 size (4.25" x 5.5")