Cut the design with the pre-set settings - or use your own, if you want to make it differently.

I am using acrylic fine-tip paint markers; you do need to choose my color combination (it wasn't the best idea to be honest; I added 2 layers of gray). 

Start with the tiny hearts, then it will be easier to to add the background.

You can paint the back side too.

Add glossy varnish to both sides, and also to the edges. (You might will need to wait a bit between these, to make sure that it is fully dried.

Add the earring hoops, and you are ready to wear (or sell :) )