There is an activation fee of $7.95 plus S&H which was like $2.25 for me (...I think), then you just pay for whichever amount you want, they have $25, $50, $100, $250 and $500 cards available as of this moment.
There are zero transaction fees for Steem or SBD, so you will only be paying the above prices. As for BTC and LTC, you will still have network and miners fees.
Most readers will instantly swipe it as a credit card, but if you would rather it be used as debit, you just enter whatever you want your PIN to be on the first debit transaction and it will remain that number - That's how mine worked, but be sure to read the instructions that comes with the card if you end up ordering one!
His name is Ryan (@xtrodinarypilot and @steemgiftcards) and he is based out of Texas - His site/business, Steem.cards, is powered by Shopify (from what I can tell).

Hope these answers help! Have an awesome day. :)