Our Care Cards have an interesting back story. We have had them for a very long time but in the beginning we only had a couple of choices. Our Mail and Flower volunteers would encourage us to expand the choices and make suggestions. We would talk with Marketing and they would agree (they designed the original ones), but then they could never find the time or the money.
The daughter of one of our Mail & Flower volunteers happened to own/run a design firm. This volunteer's granddaughter (the daughter of the design firm owner) also volunteered in the summer as a Mail and Flower volunteer. The two of them hatched a plan to strong arm the woman in the middle into donating new designs. And it worked!
The design firm met with us to understand our process and our needs, and the result is that great variety of designs and messages. Then then worked with our Marketing and PR to ensure it all worked with our branding and our website. That has now been about 6 years ago.
Long story to tell you - not a service that we purchased.