Being from Brazil, yes I do it.
I have two Amazon accounts, one that is linked to an US-based e-mail service and has my wife's former address in Boston.
The other one is Brazilian-based and has my current address.
I use the American account less and less, since my Kindle is registered to the Brazilian account, and nowadays I get a somewhat even deal, some stuff is cheaper than in the US, other stuff is more expensive.
But it's a hassle having to strip DRM from stuff and manually uploading, I like the ability to sync at will.
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