If you can put up with ads, you can easily trick Spotify and sign up for an account, even if you're not in one of the supported countries. You'll need:
- A Facebook account
- SSH access to a server based in one of the supported countries (US, UK, whatevs).
First, set up an SSH tunnel, as described here: http://paulstamatiou.com/how-to-surf-securely-with-ssh-tunnel