Layout changes between the .docx and .doc versions are common, consequently some reformatting may be required. Even then, merely changing printer drivers can affect the layout with either document format, so you can't be sure a document will be viewed by anyone else with exactly the same format as you see. If you need to preserve the formatting across all platforms, save a copy as a PDF and distribute that.
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Cheers,
Paul Edstein
[Fmr MS MVP - Word]
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