See Kappy's great User Tips.
See my User Tip for some help: Some Solutions for Resetting Forgotten Security Questions: Apple Support Communities
Rescue email address and how to reset Apple ID security questions
Send Apple an email request for help at: Apple - Support - iTunes Store - Contact Us http://www.apple.com/emea/support/itunes/contact.html
Call Apple Support in your country: Customer Service: Contacting Apple for support and service http://support.apple.com/kb/HE57