Change region

Change your Apple ID country or region - Apple Support - Apple Support - https://support.apple.com/HT204447

Option#1:

The above link used to have this information but now no longer exists in this form. - "If your store credit is less than the cost of a single item on the iTunes Store, App Store, or iBooks Store, you can add a credit card to your account [https://support.apple.com/HT201266]. When you buy an item, you will use the remaining store credit and charge the remainder of the purchase to your credit card."

Option #2:

"If you don't have a credit card, contact iTunes Store support." Apple will remove the balance and keep it.

iTunes Customer Service Contact - https://www.apple.com/emea/support/itunes/contact.html

Option #3

I haven't heard of anybody trying this but: Create and add money to an iTunes Pass - https://support.apple.com/HT203021 - "With an iTunes Pass, you can add funds to your iTunes account at Apple Stores or select retailers. You can use the funds to buy music, apps, movies, books, or TV shows*." Limited countries only. Add exactly what you need to buy something (don't forget tax, if applicable).

Buy an item more expensive than your balance and use a credit card to pay the excess amount; if you can't do this, ask the iTunes Store staff to zero it.

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