Assuming you want to add the stuff into the body of the email itself, something like this would work:
<?
$mailout = "Name: $_REQUEST[name]\n";
$mailout .= "Phone: $_REQUEST[phone]\n";
$mailout .= "Address: $_REQUEST[address]\n";
$mailout .= "Message:\n$_REQUEST[message]";
mail( "
[email protected]", "New Cleaning Order!", $mailout, "From: $_REQUEST[name] <$_REQUEST[email]>" );
header( "Location: http://www.mywebsite.com/thankyou.htm" );
?>
Is that what you're after?