CosmicSex said:
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By using a method of payment such as a gift card/debit card as long as you set up a US billing address. Plenty of people switch their payment methods or console accounts to US for anything that costs more in their own country. Which is a lot of things. And the people that know most about it are on the internet constantly.
Amazon and Play-Asia are the easiest ways to get digital online codes. Amazon started selling codes last year (I think) so people took advantage.
There's even articles on it: http://wololo.net/2013/06/27/how-to-purchase-us-psn-cards-from-amazon-when-you-dont-live-in-the-us/