Help Connecting MicroSD Module with Arduino Uno
OMG, what a vile listing!  

Anyway, I think you'll probably find they are in the order listed in the description when the connector is facing south. It's probably printed on the rear of the board which they don't show.

That is, from left to right, GND, VCC, MISO, MOSI, SCK, CS.

As for connecting a speaker, that depends if you want low quality (PWM) audio, or high quality (DAC) audio.  The latter requires the addition of an audio shield, most of which have an SD card slot on them already thus alleviating the need for this SD card breakout board.

For the former there is a library and instructions here: http://www.hackerspace-ffm.de/wiki/index.php?title=SimpleSDAudio