As you can see the massive cooler covers both sides of the card which means it's a three slot design. This makes the card a bad candidate for CrossFire setups or small cases. The hole in the cooler is there to let the guys at the factory screw on the cooler, it is right above the upper two GPU screws.
Also the two heatsinks are held in place only by the heatipes which seems to be a quite durable but not unbreakable construction. I think it is safe to transport the case to and from LAN parties with the cooler installed but you can't drop heavy things on the cooler assembly.
The card features two DVI outputs which can be used with digital flat panels for resolutions up to 2560x1600. In case you still have an old analog display you can use one of the two included DVI adapters. Of course the card also supports HDMI+HDCP+Audio via the included HDMI adapter.
Here are the front and the back of the card, high-res versions are also available (front, back). If you choose to use these images for voltmods etc, please include a link back to this site.