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You can certainly use Amazon from a different country than the US. Yes, it requires setting up a US address IF you want to have access to US-only books. But doing so is hardly difficult. A combination of a US shipping address, plus US Amazon Gift Cards bought with a non-US credit card, should get the job done. IME, Amazon doesn't particularly care so long as you are only buying eBooks. That being said, there are plenty of VPN solutions (I use "hidemyass.com") that work perfectly well for streaming video from Amazon, so I assume they will work equally well for convincing Amazon you're in the US to download your eBooks periodically, thus getting around any problems that might crop up.
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