Top definition
The highest award obtainable for sexual gallantry (Rated above the Quad Dunker Medal.

The act of Ass to Mouthing (ATM) your donger from deep in a female's pie hole directly into another female's awaiting mouth...

Doesnt count if using a jimmy hat...or with prostitutes...
must be varified..

Extremely rare occurance..
Penis Cheese Charlie was awarded the ATM Medal of Honour after ATMing Sand Paper Sally & Anus Wart Wilmar......
by rathole November 27, 2009
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