The image is from Stamp Francisco - I had the stamp, so I stamped it on good paper, scanned it, enlarged it and printed it on a white cloth transfer.
Then I sewed it onto fabric using a small zig-zag (the fabric could be ironed-on, but I didn't think this material would cooperate), then sewed the fabric into a pillow shape. Not only was it super-easy, I think she's really going to love it! (One of her harps has a skull & crossbones on it.)
Then I had to have one for myself, of course!