Tube of choice,I am using Justice Howard,which you can purchase here,do not use unless you have a license to do so.
Scrapkit is Rocker Chick,a freebie by Melissa at P&A Dezigns here. This kit rocks! Thank you Melissa!
Mask of choice.
Font of choice,I am using Kanis here.
~This tutorial was written assuming you have working knowledge of PSP~
Open a new 600x600 transparent canvas.
Paste frame 1 as a new layer/click inside frame with magicwand/selections/modify/expand by 6.
Paste paper 16 below frame layer/resize 35%/position/selections/invert/delete/deselect.
Highlight background layers/paste paper 10/right click/new mask/from image/select mask of choice/layers/merge/merge visible/layers/duplicate 3 times/position around frame.
Paste frame 1 below mask layers/resize 20%/using pick tool/position.
Paste bow 3/resize 50%/layers/duplicate/position.
BownSkull 1/resize 50%/edit/repeat resize/layers/duplicate/position.
Purple heart/resize 50%/position.
Butterfly 5/resize 55%/position.
Apply dropshadow of choice to all layers.
Image/resize all layers 17%.
Save as png,jpg,etc.
Hope you enjoyed my tut :)