In 1952, the Audax Club Parisien created an honorific recognizing randonneurs who had completed, in the same year, the series of ACP-sanctioned brevets of 200k, 300k, 400k and 600k. This honorific is called the Super Randonneur Award. Randonneurs may request a medal commemorating their accomplishment by submitting the request form shown below. This request form, filled out correctly and including verification numbers for the brevets, should be submitted with payment to RUSA at the address below. The medal design is changed after every Paris-Brest-Paris year. Deadline for submission is October 31. Medals are sent out at the end of the year.

                              SUPER RANDONNEUR
                           Medal Application Form


   Last Name   : ________________________First Name : ________________RUSA #:  ______

   Address     : _____________________________________________________

   City        : ________________________State: ___ ZIP: _____________

   Club        : ____________________________ ACP Code: ______________
                      no abbreviations


______________________________________________________________________________
|            |        |             |   Organizer or    |   * ACP Brevet      |
|            | Brevet |    Date     |   Name of Event   |      Number         |
-------------------------------------------------------------------------------
|  Brevets   |  200k  |             |                   |                     |
|             -----------------------------------------------------------------
|    de      |  300k  |             |                   |                     |
|             -----------------------------------------------------------------
| Randonneurs|  400K  |             |                   |                     |
|             -----------------------------------------------------------------
|  Mondiaux  |  600k  |             |                   |                     |
|------------------------------------------------------------------------------
*The ACP Brevet number can be found on the ACP sticker on your returned Brevet card
or, for US brevets, check the Brevet Results on the RUSA web site.


   Signature   : _______________________________ Date: _______________

   Include medal payment of $7.50 to Randonneurs USA. Mail to:

                                 Nicholas Bull
                                 RUSA Super Randonneur Award
                                 6113 N 9th Rd
                                 Arlington, VA 22205

                      Deadline for submission is October 31