Take Fresh-Roasted Coffee Orders With Custom Grind Options

Collect coffee selections, bag sizes, grind settings, subscription frequency and shipping or pickup details in one streamlined roastery order form.

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Artisan Coffee Roastery Whole Bean Order & Grind Preference Form

Select Your Coffee(s)

Bag Size

Quantity per Coffee (Number of B

· · ·

Submit

This whole bean coffee order and grind preference form template gives specialty coffee roasters a simple way to take orders online. Customers select one or more freshly roasted coffees, choose a bag size and the number of bags for each, and indicate whether they are placing a one-time order or starting a subscription with their preferred delivery frequency. A dedicated preparation section lets them keep beans whole or have them ground on roast day, with grind sizes matched to their brewer and space for per-coffee instructions on mixed orders.

The template is built for artisan roasteries, micro-roasters, coffee shops selling retail bags, and cafes running bean subscription programs. It collects everything needed to fulfill an order in one place: the customer's name, email and phone number, a choice between shipping and local pickup, a shipping address, a preferred ship or pickup date, and a payment preference. A gift checkbox lets buyers ask you to leave prices off the packing slip, making holiday and special-occasion orders easy to handle.

Using a structured order form cuts down on back-and-forth emails and grinding mistakes, so every bag leaves your roastery exactly the way the customer wants it. You can customize the coffee list, bag sizes, grind options and payment choices to match your menu, embed the form on your website or share it by link, and receive organized submissions that are ready for roasting and packing. Start with this free template and turn your coffee menu into an easy online order form in minutes.

3 Pages

18 Questions

~6min To complete

Free No credit card needed

Field types Single Choice ×5 Dropdown ×2 Long Text ×2 Multiple Choice number Full Name Email Phone Address Date singlecheckbox termsandconditions

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Coffee Selection 5 questions

Choose Your Freshly Roasted Coffee

1 Select Your Coffee(s) * Multiple Choice

2 Bag Size * Single Choice

3 Quantity per Coffee (Number of Bags) * number

4 Order Type * Single Choice

5 Subscription Frequency (Subscribers Only) Dropdown

Page 2 Grind Preferences 3 questions

How Should We Prepare Your Beans?

Whole beans stay fresh longest when ground just before brewing. If you'd like us to grind for you, pick the size that matches your brewer and we'll grind it fresh on roast day. If you're ordering a mix, use the notes below to tell us which coffees to keep whole.

1 Whole Bean or Ground? * Single Choice

2 Grind Size (If Ground) Dropdown

3 Grind Notes or Per-Coffee Instructions Long Text

Page 3 Contact, Delivery & Payment 10 questions

Contact, Delivery & Payment Details

1 Full Name * Full Name

2 Email Address * Email

3 Phone Number Phone

4 Delivery Method * Single Choice

5 Shipping Address (Skip for Local Pickup) Address

6 Preferred Ship or Pickup Date Date

7 Payment Preference * Single Choice

8 This order is a gift — please leave prices off the packing slip singlecheckbox

9 Gift Message or Special Instructions Long Text

10 I agree to the roastery's order policy. I understand that all coffee is roasted fresh to order and that ground coffee cannot be returned or exchanged. * termsandconditions

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.