Free template · 13 fields included

Chhath Puja Thekua and Samagri Order Form: Free for Sellers

Chhath orders arrive from two kinds of buyers: families in the city, and people who live away from home and want thekua and samagri sent to relatives. Both need things delivered before a specific day of the four-day festival, usually before Nahay Khay. This form captures the pack, the add-ons and the 'needed by' day so you can sequence deliveries.

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Why this template

  • Pack options from thekua-only to a full samagri kit, with add-ons such as sugarcane and extra soop and daura
  • A courier option that asks who will receive the parcel in the other city
  • A needed-by day tied to the festival (Nahay Khay, Kharna, Sandhya Arghya) as well as an exact date

What's included in this template

13 pre-built fields, edit, remove, or add more in the form builder.

01

Your Name

Short text
02

WhatsApp Number

Phone (+91)
03

Pack

Thekua only (500 g) · Thekua only (1 kg) · Prasad set (thekua, fruits, coconut) · Full samagri kit (soop, daura, fruits, puja items)

Dropdown select
04

Number of Packs

number
05

Add-ons

Extra soop and daura · Sugarcane · Banana and fruit basket · Diyas and puja items

Multiple choice
06

Delivery

My home in this city · Family in another city (courier) · I will pick it up

Single choice
07

Delivery Address

Long text
08

Pincode

pincode
09

Name and Phone of the Person Receiving It

Short text
10

Needed By

Before Nahay Khay (day 1) · Before Kharna (day 2) · Before Sandhya Arghya (day 3, evening)

Dropdown select
11

Delivery Date

date
12

Payment Screenshot (UPI)

File upload
13

Anything Else?

Long text

Free · No credit card · Customize every field

Live in under 2 minutes

1

Use this template

Click "Use this template free", the form builder opens with all fields pre-loaded.

2

Customize and publish

Edit labels, add your branding, reorder fields, or add conditional logic. Hit Publish.

3

Share and collect

Share via WhatsApp link, embed on your website, or print a QR code. Responses land in your dashboard.

In practice

What this looks like for a sweet shop

A sweet shop in Patna shares this link in WhatsApp groups of families who live elsewhere. A customer in Delhi orders a prasad set for her parents, adds sugarcane, and picks the Kharna delivery day. The shop prints the list by delivery day and area.

Not a fit if

When to look elsewhere

  • You need payment collected inside the form today. The form asks for a UPI screenshot instead.
  • You need to confirm panchang-specific timings inside the form. Dates vary by source, so share the final schedule in your form description.

Frequently asked questions

When should I stop taking orders?

Samagri and fruit baskets need to arrive before Nahay Khay. Check the festival dates in your local panchang, then set your last order date several days earlier.

Can people in other cities order for their family?

Yes. The courier option asks for the receiving person's name and phone, which couriers need.

Can I change the packs and add-ons?

Yes. Edit the dropdown and checkbox options to what you actually sell.