Someone19 said:Just open iTunes, scroll down and choose the country you want. Then click on any FREE app (because you won't be allowed to make purchases using a foreign credit card) and create a new account. Make sure that for payment you choose None.
If for example, you want to change to the US iTunes store, you won't be able to make purchases with a non US credit card, you're going to need a US iTunes Gift Card which can be bought online and the code can be sent to you.
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But they CAN use an iTunes card.
All sorted out - thanks again Someone19!