Hey Conley! Sorry for the delay in getting back to you. These cards are laid out on vertical A4 sheets. That said, they should print just fine on 8.5x11 US standard sheets. To insure they print to scale when you enter the print dialogue uncheck "Scale To Fit" if it is selected. It may also help to set the document to print with center alignment top and bottom so that it is not offset to the upper left corner. A little of the top and bottom of each page may get cropped off using this method but it will print the cards to scale. Each card should print at the size 2.75" x 4.75" (70 mm x 120 mm) If they are this size but still don't fit check your tarot card sleeves. There are actually a few variations on the Tarot card size and I have run into oversized sleeves a few times. Hope this helps! Best of luck printing! Reach back out if you continue to have issues and I will see what more I can do to assist.