Assistance Receipt Recipient InformationFull Name* First Last Organization / Business Name Email* Items Received*Recipient Acknowledgement* I certify that I have received the item(s) listed above Recipient Signature* Please type your full name above to serve as your digital signatureName of Giving Foundation Contact* Please enter the name of the person at The Giving Foundation whom you have been working with.NameThis field is for validation purposes and should be left unchanged.