Amazon distinguishes between "regions" and "Availability zones". From Amazon documentation:
Each Region contains multiple distinct locations called Availability Zones. Each Availability Zone is engineered to be isolated from failures in other Availability zones and to provide inexpensive, low-latency network connectivity to other zones in the same Region
You can use the Ruby SDK to see which regions are available for your account:
AWS::EC2.new.regions.map(&:name)
The default region is us-east-1; you can access other regions like this:
ec2 = AWS::EC2.new(:region => "us-west-1")
ec2.instances.create(:image_id => 'ami-3bc9997e')