What you need:

Tube of choice, I used artwork by Keith Garvey

Scrap Kit, "U Rock My Heart" by Skulliez Scrapz

Font of choice, I used Waza LT Pro

Graphic Program of choice, I use PSPX2

Let's Begin!

1. Open a new transparent image
Open all of your supplies

2. C/P the frame as a new layer
Rotate using your "pick tool" to desired angle
Add drop shadow
Create a new raster layer behind the frame layer
Using your lasso tool, trace along the open area of the frame
C/P the paper of choice into selection
C/P the hearts of choice above the frame layer
Add drop shadow
C/P the heart pin at the top edge of the frame or wherever
C/P the skull from the kit above the little tag layer 
Add drop shadow
Re-size as needed
C/P the tube of choice above the frame layer
Trim as needed
Add drop shadow

Add copyright info and name and your done!
This tutorial was written on 01/14/2012 at 6:45PM by Pimp'd Designz