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Just run the executable file and it sets up as a printer. When you are ready to convert your Doc file to PDF, just do a control p to print and then select Tiny PDF. It will open a save as dialogue and the file name will be the same as your document with the extension of PDF. Once you save it, it will open in Adobe so you can read it. You can just close that PDF document and the PDF file will be located in the folder you saved it in. The above link will take you to the Tiny PDF page where you can read about Tiny PDF.
After you convert a document it puts a document pending in the Tiny PDF print Q. You may have to go to the Printers in the control panel and cancel the print document. It is very easy to use and works great with Jaws or Windoweyes.Install Tiny PDF Download Link