I make a lot of computer generated sentiments, and I have set up a special size of paper on my printer - a quarter sheet, 4.25"x5.5". I mostly use Word and a little PowerPoint, and just select that page size in Page Setup when I am starting the document. It works pretty well - just adjust the paper guide on the printer to fit the quarter sheet. I tend to print the front sentiment at the top of the page and the inside sentiment centered and down on the page, then I trim it up with my paper cutter after printing.
If I want different background colors, I sometimes sponge the front sentiment piece after I print it and punch it out, although you might need to heat set your ink so it does not smear. Test this on a scrap piece before you ruin a card.
I run Word for Mac and have an ancient HP 6210, so this is what works for me - YMMV
In Word, go to File>Page Setup Click on Paper Size and select Manage Custom Sizes. HHit the + button to create a new size, double click on the name ("Untitled") to rename it and fill in the dimensions you want. Then just select this paper size in Page Setup every time you want to print it. You may need to adjust the margins each time you select this size - I have not figured out how to change the defaults.
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