Unless Apple has changed the process, I have never had to enter a credit card and I buy from the iTunes store quite regularly with Gift Cards only. As far as registering with iTunes, I believe you have to if you plan to purchase any of the DRM' d music or videos. The assumption is that when you authorize an account to play your purchased content, it must have a registered name to match.
I was able to use my AIM account to register with the iTunes store. So no need to purchase .Mac! Hope this helps. 😉