Thanks Anne
I have tried to adjust the indentation but I dont seem to have the correct
adjustment.  I am not sure that I really know where to put the indent to
move the data to the desired format.  I appreciate any help to get pointed
to the right direction.
Thanks
The original code (snippet) that I am using is as follows:

With ActiveDocument.PageSetup
       .LeftMargin = InchesToPoints(1)
       .RightMargin = InchesToPoints(1)
   End With

With ActiveDocument.Range(Start:=Selection.Start, End:=ActiveDocument. _
       Content.End).PageSetup.TextColumns
       .SetCount NumColumns:=2
       .EvenlySpaced = True
       .LineBetween = False
       .Width = InchesToPoints(1.75)
       .Spacing = InchesToPoints(0.5)
End With

Selection.ParagraphFormat.Alignment = wdAlignParagraphLeft

do while not adoRS.eof

           ' A blank line.
           Selection.TypeParagraph

           '  print the name
           Selection.TypeText StrConv(RTrim(adoRS!NAME_TITLE),
vbProperCase) & "." & " "
           Selection.TypeText RTrim(adoRS!FIRST_NAME) & " "
           Selection.TypeText " " & RTrim(adoRS!LAST_NAME)
           Selection.TypeText "  "
           Selection.TypeParagraph
loop

It sounds, Jim, like you might need to be adjusting indentation on the
paragraphs instead of adjusting margins. You can't really change the margin
without its header and footer too (or not nearly as easily), so perhaps just
using indentation both left and right would help you.
************
Anne Troy
www.OfficeArticles.com