Primitive Fall Pumpkin Trio with Bittersweet Hand Painted Tissue Box Cover. Perfect design for fall. This is a paper mache tissue cover that I hand painted a design that resembles my pumpkin sign and book. Hand drawn/painted bittersweet along the top. A hand written saying of your choice is in the black section at the bottom. Side/top color options are available. Paper Mache. Holds a boutique size tissue box, Size is 5"x5"x 5 1/2". Shown in Black. See list of choices. Can also be painted with or without the crow. See choices list under decor options. Hand painted, designed and signed by Heidi.