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Since you mention bitrefill as an example, let’s take a brief look at their
terms of service:
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Some Products sold are geographically limited to certain countries. In these cases, if you are attempting to purchase from a country that is not allowed by a Product’s terms and conditions, such a purchase will not be possible.
if you circumvent our geoblocking systems to acquire a Product that is not available in your country, you are violating these Terms and Conditions and we may suspend or remove your account. We are also not liable for any redemption issues you may find, and we will not provide a refund in those cases.
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If it is illegal or prohibited in the Customer’s country of origin to access or use Bitrefill, or to buy or use any of the Products, then the Customer shall not do so and in doing so is breaching these Terms.
Those who choose to access Bitrefill access it on their own initiative and are responsible for compliance with all local laws and regulations.
It does not explicitly mention countries where bitcoin is banned, but banning bitcoin in a country could have a second derivate on crypto TX related sites.
Nevertheless, If we go to the site and currently set as our country one of those that are more restrictive towards BTC such as Algeria, China, Bolivia and Columbia, the site does list items and allow us to purchase them (I’ve tried a few with the VPN set to the country to match the selected country on the platform too).
There seems to be a chance of perhaps "doing something" using this method (at least in some instances), although I believe that the product offer is likely going to be more delimited in those countries. We do have to bear in mind that Bitrefill does allow for purchases to be paid with a regular fiat card, so it is not strictly a crypto-only purchasing site (which may give it some extra wiggle-room).