Mother's Day Altered Notebook

I made this altered note book for my Grandmother for Mother's Day. She doesn't know it yet! So to any of you that know her - shhhhhh!

I am entering it into the following challenge:
The Pink Elephant - Aqua

I used the following items:
Composition Notebook
Blue & White Cardstock
DCWV Paper
Ribbon
Martha Stewart Punch
Computer Generated Sentiment
Martha Stewart Ink
Whimsy Stamp Untamed Love Rubber Stamp

Prismacolor & Copic Markers