Insult Request Form

Fill this form out to have your jerk insulted with an audio message!
View a sample "You're A Loser!" personal audio message HERE

Once your personalized message is recorded it will be emailed to The Jerk of your choice and to yourself. We'll record and send your message as soon as possible. The time it takes just depends on the amount of requests we receive.

Your email address will not be shared with The Jerk or anyone else but we need it to send you a copy of the insult message.

Sorry Guys, we only send messages for women!

*Your Name:

Name To Show On Message (Optional):

*Your Email Address:

*The Jerk's Name:

*The Jerk's Email Address:

*Tell us about the jerk and/or what the jerk did that deserves insulting:

Add anything else we should know here (Optional):

By submitting, you agree to have an insult sent to The Jerk you named and a copy sent to yourself. You also agree that the insults will be based on the information you entered but may or may not be exactly what you typed.

I accept: