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Business card CDs (and CDs in general) can be designed with speciality design software, or by using software usually present on a computer.
CD design software is usually cheap and sometimes comes with CD labels, and allows the user to place text and graphics onto a label, which can then be printed from a printer and placed onto a CD.
Additionally, some CDs, printers and software support printing the designs directly onto the CDs, which reduces the complexity of the CD design. Such software (and CDs) can be purchased from a local office supply store, and are becoming more common as more and more people customize their own CDs.