.
Here's the Thing, boss,
If you are still using Vista, and you have a real need to use more than 4 GB of memory, you have entered the modern era of computing technology and require a 64-bit OS.
It might be an unfortunate reality that you don't want to deal with, or perhaps there are technical or financial realities that will delay that migration, but the fundamental logic chart says that this is an inescapable future for you.
I've got a similar problem. I have a couple of wonderful WinXP machines that take care of me beautifully ... up to a point. But, they are not 64-bit hardware compliant, so my needed upgrade path is delayed until I can fix that.
My first reaction upon reading this topic is: Do you REALLY need so much RAM? I can certainly imagine situations where you might, but it is a gawdaweful lot of RAM. Have you really trimmed your system to the point where it really is running out of RAM for legitimate requirements, rather than just a lot of processes running that really don't need to be ..? My system has 1 GB RAM and I rarely use more than ~600 MB; I've seen it run up to 850 MB once or twice ... so I've not spent the $100 to slap another 2 GB in. I simply wouldn't use any of it.
Even 32-bit Win7 is an improvement over Vista that way. I've helped a few friends out getting their Win7 systems running, and they're typically not using much more than 1GB, even though they all have 4GB installed.
Just sayin' ...