I followed these steps: Created a new document Went to Layout Margins Custom Margins Multiple Pages: Book Fold I laid out my booklet It looks great on the screen, like this: The trouble is when I try to print.

Even if I copy the whole thing unformatted into a new document it still does this.

I would check out this link to Create a booklet or book in Word - Office Support and be sure youre following all the proper steps to create the document to print.

If you continue to have issues, you can also check out this link to Book Fold document printing problem - Microsoft Community and this link to Word printing a booklet using a Mac - Microsoft Community for additional steps you can try.

You can also reach out directly to Microsoft Support for additional assistance.

And, for those steps, which version of Word was used to illustrate this layout capability Word on WIndows Word 2008 Word 2011 It will make a difference.

You appear to be on Mojave, and there have been considerable Microsoft updates specific to Mojave that you have not applied.

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Mac Print Booklet