Lets do some elements now:
Element 18 - C/P and move to top right corner of tag.  Duplicate and mirror.
(see tag for placement)
Element 22 - C/P and move to far left side of tag.  Duplicate and mirror.
(see tag for placement)

Right now, I wanted to do a paper background behind what will eventually be a frame look.  So I got to my SELECTION tool and grab an area almost in the middle of the tag (as seen in the screen shot below).

Next thing I do is to add a NEW RASTER LAYER.  I then grab a paper, I used Paper 1, and C/Paste Into Selection (as seen in screen shot below).

Element 1 - C/P and move a bit down on tag, but leave in middle over paper layer.
(see tag for placement)
Element 28 - C/P and move a bit down, but leave in middle of tag over element 1 also over paper layer.
(see tag for placement)
Element 30 - C/P and move over and to the bottom of paper layer.
(see tag for placement)
Element 29 - C/P and move to bottom of paper layer over element 30.
(see tag for placement)
Element 39 - C/P and re-size 40%.  Move to bottom right side of tag over element 28 layer.  Duplicate and mirror.
(see tag for placement)
Element 34 - C/P and re-size 50%.  Move to top left corner of element 28 layer.  Duplicate and mirror.
(see tag for placement)
Element 10 - C/P and move up on tag.
(see tag for placement)

Now for the tube(s):
If you are using the same tube as me, grab it now.  C/P and re-size 90%. Move her look like she is sitting up on element 29. 
Element 2 - C/P and re-size 20%.  Move to middle left side of tag over tube.
(see tag for placement)
I used: 
V & H 2
Opacity 70
Blur 7
Color Black

 Now you can add name and  © information.  Save as .png and re-size if you wish.