In insist on keeping this alive. whenever there is a death, birthday, Christmas etc. I send an actual card in the mail, and I write a letter on the inside of the card-I use cards that are either blank inside or just have one or two words salutation for lots of space. Then I write a special message about me or the recipent(s). It's more personal. even if birthday cards or Christmas cards are sent as e-cards instead, sympathy cards should always be actual cards.