Thanks for the response.
When I do
"C:\Program Files (x86)\Microsoft Office\Office12\winword" /t"C:\Custom.dotm" /w /q
Word opens up with a blank file and I can see the macro.

When I add the file I want to print
"C:\Program Files (x86)\Microsoft Office\Office12\winword" /t"C:\Custom.dotm" /w /q "C:\Users\jdockstader\Documents\10109 Router.docx"
Word opens up with the file but there are no macros.

When I do (switching from /m to /l)
"C:\Program Files (x86)\Microsoft Office\Office12\winword" /l"C:\Custom.dotm" /w /q "C:\Users\jdockstader\Documents\10109 Router.docx" /m"SaveAsPDF1"
Word opens up with the file and I can see the macro but it isn't executing.