You need a headphone/microphone lead, and plug that into you Sat nav mount, this will allow you to make and recieve calls. Your Garmin can scroll through your phones contact list, and allow you to make a call, as long as the phone and Garmin are bluetooth linked.
Or if your not bothered about making calls, just plug your earphones into the mount, to hear your music and directions, if you make a call, or recieve a call this way, you will not be heard by the caller, thou you will hear them.
Yeah you can make calls while riding. The first time you try to do it (or anything else more involved with the Zumo) it asks you if you want to disable safe mode. One prod of yes and your all set.
Another interesting feature is that some points of interest like petrol stations have numbers attached to them so you can call ahead to make dinner reservations and so on.