61-12-310. Form of contract. A motor club service contract may not be executed, issued, or delivered in this state unless it contains the following:

(1) the name of the motor club service company;

(2) the location of its home office, giving street number, city, and state;

(3) a provision that the contract may be canceled at any time by either the company or the holder and that the holder is, if the holder has actually paid the consideration, entitled to the unused portion of the consideration paid for the contract, calculated on a pro rata basis without any deductions;

(4) a provision plainly specifying the services promised and that the holder is not required to pay any sum for any services specified in the contract in addition to the amount specified in the contract and further specifying the territory where the services are to be rendered and the date when the service commences.