To make my pumpkin stems, I rolled a piece of kraft cardstock into a tube using double sided tape at the end to hold it together. I used a craft knife to cut a slit in the top of each pumpkin and then slid the stem inside, securing it from the back. I twisted some copper wire to make a stem. I used foam tape to attach the pumpkins, so I could shape them a bit for dimension.
I finished with the sentiment from the set and two ghost brads. The background paper is from Reminisce.