You need a zero account balance and you need to cancel all your subscriptions. If you have cancelled all subscriptions, but some haven’t expired, contact iTunes Support. You need a credit card issued by a bank in the country the store is in, and you need a billing address in that country. If you have an account balance, either buy something more expensive and pay the balance with a credit card or contact iTunes Support and ask them to zero balance your account.
Purchases - View, change, or cancel your subscriptions
Purchases - Subscriptions not billed through Apple
Region - Change your iTunes Store, iBooks Store, or App Store country or region
If necessary, contact iTunes Support. Either use the form or scroll to the bottom of the page in the 2nd link. Follow through the screens to get a chat or telephone option.
iTunes Support
iTunes Support – world wide