| Altoona to Altenbeken | 3,997.17 mi (6,432.82 km) |
| Altoona to Altenberge | 3,932.42 mi (6,328.62 km) |
| Altoona to Altenburg | 4,155.98 mi (6,688.41 km) |
| Altoona to Altenholz | 3,962.63 mi (6,377.24 km) |
| Altoona to Altenstadt | 4,043.52 mi (6,507.42 km) |
| Altoona to Altensteig | 4,084.01 mi (6,572.58 km) |
| Altoona to Altlandsberg | 4,152.08 mi (6,682.13 km) |
| Altoona to Altotting | 4,259.44 mi (6,854.90 km) |
| Altoona to Altusried | 4,175.17 mi (6,719.28 km) |
| Altoona to Alzenau in Unterfranken | 4,055.21 mi (6,526.24 km) |
| Altoona to Alzey | 4,027.60 mi (6,481.79 km) |
| Altoona to Amberg | 4,184.94 mi (6,735.01 km) |
| Altoona to Andernach | 3,977.92 mi (6,401.84 km) |
| Altoona to Angermunde | 4,146.35 mi (6,672.91 km) |
| Altoona to Anklam | 4,108.05 mi (6,611.27 km) |
