This is an APC, or Altered Playing Card.
Design Team work for Bella Creations September Tres Chic Challenge, which I was to use sewing/pearls/fabric.
JOKER card from standard card deck
fabric, gathered into ruffel and sewn onto card
small dress form die cut, painted/Rock Candy finish
flower, dyed with Distress Spun Sugar
chipboard spool, painted
Back is decorated too! I sanded the center of the Joker (to remove image) and painted/stamped it.