I found the info from the GameCam forums. It varies slightly from their own "Getting Started" info as follows:
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What you need to do...
1. Go into your CoH Profile in Game Cam, delete it.
2. Go into your CoH folder in my computer... find the file "CityOfHeroes.exe" drag and drop it into the Profile Manager.
3. Keep Game Cam running in your system tray.
4. Launch City of Heroes like normal..
I've been using Game Cam for weeks with CoH works great! Have fun.
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I'll try it over the weekend.