If it is a new account you have to wait 60 days to apply for their atm/debit card.
You could have them mail you a check. You can buy stuff with it. You could transfer to another account, that has a way to withdraw. There are money exchanging websites that will convert it for you, but the fee is like 10% because no one wants paypal. I converted $1000 paypal to $900 Webmoney. They also have egold and other currencies.
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