| Middle Valley to Albenga | 4,736.31 mi (7,622.35 km) |
| Middle Valley to Alberobello | 5,245.80 mi (8,442.29 km) |
| Middle Valley to Albignasego | 4,847.83 mi (7,801.82 km) |
| Middle Valley to Albinea | 4,819.79 mi (7,756.69 km) |
| Middle Valley to Albino | 4,746.82 mi (7,639.27 km) |
| Middle Valley to Alcamo | 5,164.17 mi (8,310.92 km) |
| Middle Valley to Alessandria | 4,724.81 mi (7,603.84 km) |
| Middle Valley to Alfonsine | 4,885.45 mi (7,862.38 km) |
| Middle Valley to Alghero | 4,858.99 mi (7,819.78 km) |
| Middle Valley to Alpignano | 4,671.51 mi (7,518.06 km) |
| Middle Valley to Altamura | 5,215.02 mi (8,392.76 km) |
| Middle Valley to Altavilla Vicentina | 4,824.57 mi (7,764.40 km) |
| Middle Valley to Altofonte | 5,176.77 mi (8,331.21 km) |
| Middle Valley to Altopascio | 4,851.06 mi (7,807.03 km) |
| Middle Valley to Alzano Lombardo | 4,744.91 mi (7,636.20 km) |
