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One of the ongoing sources of confusion among Publisher users is how we use the terms page and sheet. Simply put, the page is the content of your publication and the sheet is the sheet of paper on which the page is printed. Depending on what you're creating, you may fit several pages on one sheet, or potential a page may extend across several sheets.
For example, if you're creating a holiday card, each page will be 4.25"x 5.5". Four pages will be printed onto 8.5" x 11" sheet of paper and then folded in quarters to make the card.
You can see this more clearly in the following screenshot of the print preview for the holiday card. The pages are numbered 1 through 4 on an 8.5" x 11" sheet of paper:
If your page and sheet are the same size, there's little chance for confusion. But given the varied sizes of cards, brochures, business cards, and many other publications, keeping the terms straight will help you get the results you want.
For more explanations of these and other Publisher terms, please see the excellent article Crabby demystifies Publisher terms.