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NC2023_WORD_Paper_Instructions.pdf should be the same as the .pdf output when you create a .pdf from NC2023_Paper_Template_Word.docx.  I suggest that you try creating your own .pdf from  NC2023_Paper_Template_Word.docx to see that you have everything necessary create a .pdf  like NC2023_WORD_Paper_Instructions.pdf. 

Once you have sorted out any problems, then I suggest you copy the .docx file to NC_2023_YYYY.docx, where YYYY is your corresponding abstract number (with zeros in front to make it 4 digits long, e.g. if  12 is your abstract submission number YYYY = 0012, and start editing it to produce your paper.  That way you will still have NC2023_Paper_Template_Word.docx as a reference.

Note double check any Congress-Specific instructions on final naming of your file.   