If anyone suggested a pet hamster for her, how about a hedgehog? She had or has pets of these kind before, yes?
The other ideas are great too such as a postcard, photocard, or even a birthday journal/book from all the Kamilias and KHF members alike here.
Also, I'm willing to see if each member from each nation/culture can offer her something unique that's found only in our home country or within our culture?