1. No, only need one or the other. Make sure to get the correct one, though: 3" high ball is different sized from the 3" high lip, golden tee, & original.
2. No, unless you really pound down on your trackball. The support plate spreads the pressure over a square area, instead of the 4 bolt heads. Most arcades didn't need this; OTOH it's fairly common for bars (golf).
Note: if you use this, you can't illuminate the ball.
3. Yes AMOA standard, no don't need anything special.