A printing and embossing folder includes a first panel member having a plurality of holes and a second panel member hingedly coupled to the first panel member having a plurality of holes in corresponding relationship to the holes of the first panel member. A set of design tiles include positive relief designs disposed thereon. A corresponding set of design tiles have either negative relief designs for embossing or no relief for printing. The tiles can be positioned at any desired location on the folder so long as the positive design tiles are positioned opposite a corresponding tile for either embossing or printing. Inserting a sheet of paper within the folder and pressing the folder will cause the design to be embossed or printed into the paper.