diff --git a/datacenterlight/cms_plugins.py b/datacenterlight/cms_plugins.py
index 52b4f19f..ffecbf0b 100644
--- a/datacenterlight/cms_plugins.py
+++ b/datacenterlight/cms_plugins.py
@@ -1,6 +1,7 @@
 from cms.plugin_base import CMSPluginBase
 from cms.plugin_pool import plugin_pool
 from django.conf import settings
+from django.utils.translation import ugettext_lazy as _
 
 from .cms_models import (
     DCLBannerItemPluginModel, DCLBannerListPluginModel, DCLContactPluginModel,
@@ -10,7 +11,9 @@ from .cms_models import (
     DCLSectionPromoPluginModel, DCLCalculatorPluginModel
 )
 from .models import VMTemplate
-from datacenterlight.utils import clear_all_session_vars
+from datacenterlight.utils import clear_all_session_vars, get_ip_address
+
+import ipaddress
 
 
 @plugin_pool.register_plugin
@@ -170,6 +173,25 @@ class DCLContactPlugin(CMSPluginBase):
     render_template = "datacenterlight/cms/contact.html"
     cache = False
 
+    def render(self, context, instance, placeholder):
+        context = super(DCLContactPlugin, self).render(
+            context, instance, placeholder
+        )
+        request_ip_address = get_ip_address(context['request'])
+        request_v4v6 = ''
+        if (type(ipaddress.ip_address(request_ip_address)) ==
+                ipaddress.IPv4Address):
+            request_v4v6 = 'IPv4'
+        elif (type(ipaddress.ip_address(request_ip_address)) ==
+                ipaddress.IPv6Address):
+            request_v4v6 = 'IPv6'
+        context['ip_address_label_title'] = _(
+            "You are requesting this website from "
+            "{ip_address}.".format(ip_address=request_ip_address))
+        context['ip_address_label'] = _(
+            "Enter '{v4v6}':".format(v4v6=request_v4v6))
+        return context
+
 
 @plugin_pool.register_plugin
 class DCLFooterPlugin(CMSPluginBase):
diff --git a/datacenterlight/forms.py b/datacenterlight/forms.py
index b697f694..27a0fbb5 100644
--- a/datacenterlight/forms.py
+++ b/datacenterlight/forms.py
@@ -1,9 +1,31 @@
 from django import forms
-
+from django.utils.translation import ugettext_lazy as _
+from datacenterlight.utils import get_ip_address
 from .models import ContactUs
 
+import ipaddress
+
 
 class ContactForm(forms.ModelForm):
     class Meta:
-        fields = ['name', 'email', 'message']
+        fields = ['name', 'email', 'message', 'ip_address']
         model = ContactUs
+
+    def __init__(self, *args, **kwargs):
+        self.request = kwargs.pop('request', None)
+        super(ContactForm, self).__init__(*args, **kwargs)
+
+    def clean_ip_address(self):
+        input_ip_address_text = self.cleaned_data.get('ip_address')
+        request_ip_address = get_ip_address(self.request)
+        ip_address_type_text = 'ipv4'
+        if (type(ipaddress.ip_address(request_ip_address))
+                == ipaddress.IPv4Address):
+            ip_address_type_text = 'ipv4'
+        elif (type(ipaddress.ip_address(request_ip_address))
+                == ipaddress.IPv6Address):
+            ip_address_type_text = 'ipv6'
+        if input_ip_address_text.strip().lower() == ip_address_type_text:
+            return request_ip_address
+        else:
+            raise forms.ValidationError(_("Input correct IP address type"))
diff --git a/datacenterlight/templates/datacenterlight/contact_form.html b/datacenterlight/templates/datacenterlight/contact_form.html
index 87848ff2..26170bd8 100644
--- a/datacenterlight/templates/datacenterlight/contact_form.html
+++ b/datacenterlight/templates/datacenterlight/contact_form.html
@@ -26,7 +26,7 @@
         <div class="form-group">
             <label class="control-label col-sm-2" for="name">{% trans "Name" %}</label>
             <div class="col-sm-10">
-                <input type="text" name="name" class="form-control" data-minlength="3" data-error="{% trans 'Please enter your name.' %}" required>
+                <input id="name" type="text" name="name" class="form-control" data-minlength="3" data-error="{% trans 'Please enter your name.' %}" required>
                 <div class="help-block with-errors"></div>
                 {{contact_form.name.errors}}
             </div>
@@ -34,7 +34,7 @@
         <div class="form-group">
             <label class="control-label col-sm-2" for="email">{% trans "Email" %}</label>
             <div class="col-sm-10">
-                <input name="email" type="email" pattern="^[^@\s]+@([^@\s]+\.)+[^@\s]+$" class="form-control" data-error="{% trans 'Please enter a valid email address.' %}" required>
+                <input name="email" type="email" id="email" pattern="^[^@\s]+@([^@\s]+\.)+[^@\s]+$" class="form-control" data-error="{% trans 'Please enter a valid email address.' %}" required>
                 <div class="help-block with-errors"></div>
                 {{contact_form.email.errors}}
             </div>
@@ -47,6 +47,15 @@
                 {{contact_form.message.errors}}
             </div>
         </div>
+        <div class="row"><div class="col-sm-2">&nbsp;</div><div class="col-sm-10">{{ ip_address_label_title }}</div></div>
+        <div class="form-group">
+            <label class="control-label col-sm-2" for="ip_address" style="white-space: nowrap;" >{{ ip_address_label }}</label>
+            <div class="col-sm-10">
+                <input name="ip_address" id="ip_address" type="text" class="form-control"data-error="{% trans 'Please enter the text IPv4 or IPv6 based on your IP address.' %}" required>
+                <div class="help-block with-errors"></div>
+                {{contact_form.ip_address.errors}}
+            </div>
+        </div>
         <div class="form-group">
             <div class="col-sm-offset-2 col-sm-10 text-right">
                 <div class="form-error hide">{% trans "Sorry, there was an unexpected error. Kindly retry." %}</div>
diff --git a/datacenterlight/utils.py b/datacenterlight/utils.py
index 6a0e45ca..435de23c 100644
--- a/datacenterlight/utils.py
+++ b/datacenterlight/utils.py
@@ -303,3 +303,12 @@ def create_tax_id(stripe_customer_id, billing_address_id, type,
         billing_address.vat_validation_status = tax_id_obj.verification.status
         billing_address.save()
     return tax_id_obj
+
+
+def get_ip_address(request):
+    x_forwarded_for = request.META.get('HTTP_X_FORWARDED_FOR')
+    if x_forwarded_for:
+        ip = x_forwarded_for.split(',')[-1].strip()
+    else:
+        ip = request.META.get('REMOTE_ADDR')
+    return ip
\ No newline at end of file
diff --git a/datacenterlight/views.py b/datacenterlight/views.py
index e149bfc4..f63d93a3 100644
--- a/datacenterlight/views.py
+++ b/datacenterlight/views.py
@@ -49,6 +49,11 @@ class ContactUsView(FormView):
     template_name = "datacenterlight/contact_form.html"
     form_class = ContactForm
 
+    def get_form_kwargs(self):
+        kw = super(ContactUsView, self).get_form_kwargs()
+        kw['request'] = self.request
+        return kw
+
     def get(self, request, *args, **kwargs):
         return HttpResponseRedirect(reverse('datacenterlight:index'))