MWE thank you so much for your time and efforts.
The tech reinstalled the entire 2003 office suite and I was still not automatically printing docx documents.
I suggested installing Microsoft Word 2007. The tech said it would erase over 2003. I told him that was not the case based on what I read (you can have both copies of 2003 and 2007 except for Word).
On the 2007 installation screen we unchecked update and choose the second radio button option.
In the second tab, we crossed everything out to not install except for Word 2007.
I then tried to print the outlook items and they worked!
Thank you all!