Pin It Now! This is a great fun card for men, or sans tie it can make a cute frilly blouse, too. I don't seem to have a pic of the inside, but the whole front opens at the top; the collar points hold the card shut.
I love using a striped paper for the tie and then fold it on the diagonal. The tie pattern is a common origami one, and the card fold I found on several other people's blogs.