Typical offenders in my case are medical bills printed on dot-matrix printers.
I don't even know if there's perforated continuous stationery/form paper with tractor holes that, once you strip the holes, is A4 sized? I guess it's really uncommon if it exists for I don't ever recall seeing any actually used.
Now don't get me wrong: hearing the song of a dot-matrix printer makes me happy (brings back lots of memories as my first printer was a dot-matrix one) and it's nice that that tech is still in use here and there. I just wish the dot-matrix printers in Europe would use A4 continuous paper (which may or may not even exist).
And don't get me started on oversized continuous paper that is not perforated: this is the kind of stuff that can trigger obsessive-compulsive disorder!
I guess all this rant to say that even in Europe, where A4 is ubiquitous, you still have places using other sizes than A3/A4/A5 etc.