custom print styles in outlook

Outlook allows you to redefine the print styles to a fashion. I want to totally redefine or create a totally new print style from scratch.

Does anyone know if this is possible?

The other alternative is to use VB and write a small program that references the outlook object and prints from there.

Has anyone done this or know how this is done?

The other way I thought of was to use Word and reference the outlook object from there.

Has anyone any experience with this?

Sorry for all the options, I am just trying to think of all my options.

Thanks for reading.