Yes, I understand that part.  The paper size seems to work fine on most of
our systems, however, we have a couple of systems where it seems to be
interpeting the page size values as 10ths of a millimeter instead of 100ths
of an inch, which you stated should always be in 100ths of an inch.

As a test, I've used the PrinterUnitConvert method to convert the page size
values from 100ths of an inch to 10ths of a millimeter, and pass in the
converted values, and the page size is then correct on the problem systems.

I would be fine with converting as necessary, except I can't find a way to
determine which measurement unit I should convert to.  
System.Globalization.RegionInfo.IsMetric is returning false on the problem
systems, yet it is still interpreting the page size values as 10ths of a
millimeter.

I have also tried getting the graphics object from the pagesettings object,
and testing the GraphicsUnit member, which returns "Display", which I believe
means 100ths of an inch.

I would really appreciate any further assistance with this issue.

Thanks again!