You can mount it in an orientation different than suggested. Especially if you use an optipac or mouse hack.
If you're only going to use the TB in mame, you can remap the axes (general/default) and/or set the axes to analog (each game) as needed.
However, it's better if you change the wiring. Not only do you not need to remap and software reverse axis, but it will work as is in windows and other applications. If you rotated 90 or 270 from what the TB expects, hook the "X" TB axis to the optipac Y axis, and same with the Y axis. If the pointer goes the opposite direction than you roll, then switch the "X+" & "X-" (or "Y+" & "Y-") wires.
The rewiring is harder if you have one of the TBs that come with a PC hook up, but you can swap the cards.
The other problem is the rollers are positioned so the ball works the best for most games & most CPs (but not all) if you mount as suggested. Rotated 90 degrees one way is basically the same, but 90 the other or 180 and the TB is probably better for GoldenTee type games on flat CPs.