* We use a combination of the Adobe package: Illustrator and Photoshop (less) to create or modify the designs. Finally Indesign to automatically fill a sheet with these designs.
These are expensive programs for which cheaper or even free alternatives exist. Some people even use Word or Excel, but we are absolutely not in favor of that.
The most important thing is that you can set the cut circle and size to the actual (print) size. If you print at 100% without automatic page adjustment then your prints will be perfect.
Do you have tips for alternative (cheap) programs? Be sure to let them know in the comments here!