You'd need to find a country that has an iTunes Store that's carrying that item and open an account there. That probably means a US Store. You don't need a credit card, but you do need a Gift Card in the currency of the country in which you want to open an account. However, these are widely available on the Internet and, since you don't need the physical card but only the ID number from the back of the card, the retailer can email you this and, in minutes, you're good to go.
Tim