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The designs are printed on only one side of the perforated page. The paper and all around printing and binding is consistent with the good quality you can expect from Creative Haven. While the binding is glued, you can easily remove pages at the perforations. The mandalas are all centered well on the page and you will not lose any part of the design if you remove it from the book.
For those who are interested, I will list the various coloring medium I use for my tests in the comments below. My markers – both water and alcohol based bleed through Creative Haven paper. My gel pens don't leak through but they do leave a shadow of color on the back side of the page. My coloring pencils work well with the paper and as expected for the type of core in the pencil. I recommend using a blotter sheet below the page you are working on to keep from ink leaking through to the next page. You can also remove the page. I use chipboard as a blotter but you can use multiple sheets of paper of card stock or even a paper folder if you have one handy.
