How can I spend my store credit to change my Apple ID region?

Buy something more expensive than your balance and use a different payment method for the excess amount; if you can't, use this link to ask the iTunes Store staff to zero it. If you're referring to another store, check its documentation.

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Hey there,

If you can't change your country or region, or you have less store credit than the cost of a single item, contact Apple Support.

* Change your Apple ID country or region - Apple Support